Treating Endometriosis with Advanced Laparoscopic Excision Surgery
Laparoscopic excision surgery is considered the “gold” standard for treatment of endometriosis and requires an expert with considerable ability and experience. Dr. Seckin, one of a handful of doctors worldwide who is expertly trained and highly successful in advanced laparoscopic excision surgery for endometriosis, is a pioneer in this field. He trained with Dr. Harry Reich, M.D., one of the most celebrated laparoscopic surgeons in the world. Dr. Reich is a pioneer in endoscopy and performed one of the very first laparoscopic surgeries in 1989.
Laparoscopic surgery is the most advanced treatment for endometriosis because it offers permanent removal of the endometriomas and offers the greatest pain relief. This surgery includes the excision of the endometriomas and the scar tissue and adhesions caused by endometriosis. Laser surgery, often the first choice of many doctors today, is far less effective because it only burns off the top layer of endometrial tissue, allowing for the endometrioma and endometriosis to grow back quickly. Laparoscopic surgery for endometriosis is an effective, less invasive option, which confers the maximum results for total removal of all disease.
Laparoscopic surgery for endometriosis also allows Dr. Seckin to safely and successfully remove the endometriosis from all areas with minimal risk of damage to underlying vital structures. Utilizing sharp dissection, he is able to thoroughly eradicate all forms of endometriosis, including DIE (Deep Infiltrating Endometriosis) and adhesions. Surgical excision of endometrial implants provides the best symptomatic relief and long-term results. The result is improved fertility, reestablishment of a normal pelvic anatomy, and eradication of symptoms.
Excision can be performed with any surgical tool, depending on the surgeon’s preference. Dr. Seckin uses the da Vinci system with its 3-D high definition camera that allows for precise excision of endometriosis. His endometriosis surgery is performed using cold scissors and bipolar capillary bleed control to keep the tissue surface as smooth as possible.
Drug Therapy & Endometriosis
Unfortunately, women and girls are often left to "manage" discomfort from their endometriosis with powerful painkillers and hormones, which merely mask the disease. These patients are often mislead to believe that by suppressing the symptoms, you treat the disease. This often leads to the disease progressing, eventually with the symptoms becoming worse and no longer responding to medication. It is true that drug therapy can offer some relief of endometriosis symptoms, but it does not help to correct the underlying problem. Relying solely on drug and hormone therapy has consequently caused many women a long delay in effective diagnosis and treatment. This leads to many "hit or miss" surgeries with high recurrence rates and, sadly, thousands of unnecessary hysterectomies. The definitive treatment of endometriosis is not a hysterectomy or removal of the ovaries, but instead the complete excision of the disease.
Endometriosis and an Iceberg
In the most simplistic of analogies, imagine an iceberg. The peak is above water, but the iceberg’s bulk remains submerged under water. "Shaving" off the top of the iceberg would appear to leave behind a smooth surface. What actually occurs, however, is that the largest - and most dense - portion of the iceberg has been left behind beneath the surface. This is analogous to the superficial removal of endometriosis implants through the techniques of ablation, vaporization, cauterization, or fulguration. The disease is left to thrive and symptoms will recur.
By contrast, with deep excision, the entire "iceberg" - the endometriosis nodule - is "cored" out, leaving behind no residual disease, conferring low reoperation rates, and resulting in a highly successful outcome for very long-term, endometriosis-free relief. This is why we strongly believe there is no better method than deep excision surgery when it comes to fully removing endometriosis.
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