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Endometriosis Surgery

Surgical treatment of endometriosis

IFEM Endo has an experienced team of gynaecological surgeons, whose clinical activity is exclusively dedicated to endometriosis. We offer treatment of all forms of endometriosis, including rare forms, by trained multidisciplinary teams. The results of our surgeries have gained international renown, from the many scientific publications and innovative treatments for surgical management of deep or ovarian endometriosis.



Endometriosis is a gynaecological disease, at least in its initial form and tends to occur on the peritoneum of the pouch of Douglas, on the vesico-uterine pouch, on the uterosacral ligaments, on the broad ligaments, or on the ovaries and fallopian tubes.



Deep endometriosis can affect the digestive system, infiltrating the various layers of the wall of the rectum, colon, small intestine and appendix.
The frequency of this type of endometriosis is difficult to accurately estimate. In a survey conducted in 2015 in 56 French institutions, it was estimated that more than 1,200 patients are operated on each year in France for endometriosis of the colon and rectum.



Deep endometriosis can infiltrate the organs of the urinary tract, particularly the bladder and ureters. When the bladder is involved urinary symptoms usually include urinary pain during menstruation or the need to urinate frequently, including at night.



A Hysterectomy is a surgical procedure in which the uterus is removed. Although this surgical procedure does not treat endometriosis, found the uterus, hysterectomy is frequently associated with the removal of endometriosis in women with adenomyosis and who no longer wish to become pregnant.


of the diaphragm

Diaphragm injuries do not always cause symptoms. However, they may cause pain in the right shoulder during menstruation, in the right shoulder blade, or at the base of the right hemithorax. In some cases, damage to the diaphragm is the cause of recurrent pneumothorax episodes during menstruation.


Sacral plexus and sciatic nerves

Deep endometriosis can affect the sacral plexus, particularly when it spreads to the space at the side of the vagina and rectum, also called the parametrium. Deep endometriosis nodules of the parametrium may compress, envelop or infiltrate large diametre nerve structures such as the sacral roots.



Robotic surgery first appeared on the surgical landscape in the late 1990s. Over the past 20 years, technological advances have led to rapid development of robotic surgery and an explosion in the number of centres that have decided to acquire a robot.