Endometriosis Excision by Robotic / Laparoscopic Surgery

Robotic Endometriosis Excision: The Gold Standard for Lasting Relief

The journey with endometriosis is often a long and exhausting one, marked by debilitating pain that can be misunderstood or dismissed. You may have been told that your symptoms are “normal” or have undergone previous surgeries that brought only temporary relief.

At Happiher, we understand. We believe in providing a definitive, effective solution that doesn’t just manage symptoms, but aims to restore your quality of life. Dr. Manou Kaur is a specialist in the gold standard treatment for endometriosis: complete excision surgery, performed with the unparalleled precision of the da Vinci robotic system. This is not just another surgery; it is a meticulous approach to reclaiming your health.

The Critical Difference: Excision vs. Ablation

Understanding the surgical approach is key to understanding why so many women find lasting relief with this procedure.

• Ablation (or Fulguration): This is a more common, older technique where the surgeon uses intense heat to burn or vaporize the surface of the endometriosis lesions. The problem is that endometriosis is an invasive disease, and ablation leaves the deeper “roots” of the disease behind. This is a primary reason why pain and symptoms often return.
• Excision Surgery (The Gold Standard): This is the technique Dr. Kaur exclusively uses. Instead of burning the surface, she meticulously and precisely cuts out (excises) the endometriosis lesion in its entirety, including the tissue beneath it. This is like removing a weed by its root instead of just cutting the top off. By removing the complete lesion, the chance of recurrence is significantly reduced, offering the best hope for long-term pain relief.

Why Robotic-Assisted Surgery is Ideal for Excision

Performing a thorough excision, especially in cases of deep infiltrating endometriosis near vital organs like the bowel, bladder, or ureters, requires incredible precision and control. The da Vinci robotic system provides Dr. Kaur with superhuman capabilities to perform this delicate work.

• Unmatched Precision and Control: The robotic instruments have “wristed” joints that can bend and rotate far more than the human hand, allowing for incredibly delicate dissection of endometriosis tissue while preserving healthy surrounding organs. The system also filters out any tiny hand tremors.
• Superior 3D Magnified Vision: Dr. Kaur operates from a console that provides a high-definition, 3D, and highly magnified view inside the pelvis. This allows her to identify even the most subtle or deeply hidden endometriosis lesions that might be missed with standard laparoscopy.
• A Safer, Less Invasive Procedure: By combining the precision of robotics with a keyhole approach, the surgery results in less blood loss, less damage to healthy tissue, and a significantly faster and less painful recovery compared to traditional open surgery.

Your Patient Journey: A Comprehensive Approach to Care

We believe in a holistic, supportive journey from your first meeting to your full recovery.

1. Specialist Consultation and Surgical Planning: Your journey begins with a detailed consultation, reviewing your history, symptoms, and all previous imaging and surgical reports. We may use advanced imaging to map out deep endometriosis before surgery. For complex cases, Dr. Kaur collaborates with other specialists (like colorectal or urology surgeons) to create a comprehensive surgical plan.
2. The Excision Procedure: Performed under general anaesthesia, the surgery’s duration depends on the complexity and extent of the disease. Dr. Kaur works meticulously to remove all visible endometriosis from the pelvic cavity.
3. Recovery and Post-Operative Care: While this is a definitive surgery, the robotic approach allows for a quicker recovery. An overnight hospital stay is typical. We provide a detailed aftercare plan and schedule a follow-up to discuss the surgical findings and your path forward to long-term wellness.

Frequently Asked Questions (FAQ)

1. Is endometriosis excision surgery a cure?
   While endometriosis is considered a chronic condition, complete excision of the disease offers the highest chance for significant, long-term relief from pain and other symptoms. It is the most effective treatment available today.
2. How is this different from the laparoscopy I had before?
   Many previous laparoscopic surgeries for endometriosis use the ablation technique. The fundamental difference with our approach is the meticulous excision of the entire lesion, combined with the precision of robotics to ensure the most thorough removal possible.
3. Will this surgery improve my fertility?
   For many women, endometriosis is a cause of infertility. By removing the inflammatory endometriosis tissue and restoring normal pelvic anatomy, excision surgery can significantly improve the chances of natural conception or success with fertility treatments.
4. What is the recovery time?
   Most patients can return to a desk job and light activities within 2-3 weeks. We advise avoiding strenuous exercise and heavy lifting for about 6 weeks to allow for complete internal healing.

Reclaim Your Life from Endometriosis

You deserve a solution that is as serious as your symptoms. Take the first step toward lasting relief and expert care.