Plan your stay
Endometriosis surgery
If surgery is planned, it will be carried out at the Clinique Tivoli-Ducos, where you will also be hospitalized for a variable length of time, depending on the type of operation and your post-operative progress.
For more information about Clinique Tivoli-Ducos, please visit the clinic's website.
Before the operation
For patients undergoing surgery at 8am, hospitalization is scheduled the day before.
You will be asked to follow a residue-free diet for 3 to 5 days prior to surgery.
For patients scheduled for surgery on the digestive tract (colon, rectum), digestive preparation is required the day before surgery.
The intervention
On the day of the operation, you will be asked to take an antiseptic shower, remove jewelry and nail polish, and fast for several hours.
You will be accompanied to the operating room, where the surgeon will meet you for a final interview before surgery.
In over 99% of cases, surgery at our center is performed laparoscopically, with or without robotic assistance. This involves making 4 or 5 incisions, varying in size from 5 to 10 mm. Incisions of less than 5 cm in length may be made in certain situations, to extract organs that cannot be divided inside the abdomen (as in the case of rectal resection or nephrectomy, for example).
After the operation
At the end of the procedure, you spend one to two hours in the recovery room, before returning to your room.
You can drink water a few hours later, and can have a light meal on the evening of the surgery. Depending on the type of operation performed, you may be asked to get up for the first time on the evening of the surgery, or the following morning at the latest.
Our center applies the principles of Enhanced Rehabilitation after Surgery (ERS).
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The urinary catheter is removed after the patient first gets up. It is important to monitor the resumption of urination, as surgery for deep endometriosis often involves a risk of urinary dysfunction, following the transient paralysis (neuropraxia) of the splanchnic nerves that ensure voluntary bladder contraction. For this reason, you should inform the nurses each time you wish to urinate, so that they can measure the volume of urine eliminated and that still remaining in the bladder, the latter measurement being carried out in bed, using an ultrasound device.
Passage of gas and stools usually resumes the following morning. There is no special diet after surgery, regardless of the procedure performed.
In the case of surgery for severe endometriosis, and particularly in the case of colorectal surgery, particular attention is paid to identifying the first signs of infectious complications or digestive fistula. For this reason, blood samples are taken several days in a row (usually from the3rd to the 7th post-operative day) to measure white blood cells and C-reactive protein.
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A rise in the levels of these two parameters precedes the appearance of the first clinical signs of complication (fever, abdominal pain, cessation of transit) by several hours, enabling us to perform an abdominal CT scan and a new laparoscopy as a matter of urgency to treat the complication without delay.
This attitude, based on close monitoring and reactivity 7 days a week, has enabled us to progressively reduce the use of offloading stomas, with the aim of preventing complications linked to the development of digestive fistulas. To find out more
Hospitalization
The duration of hospitalization varies, generally between 1 and 3 days post-operatively.
During your hospital stay, your gynecological surgeon will visit your room every day from Monday to Saturday, first to explain how the surgery will be performed, then to check that your post-operative progress is normal. On Sundays, and in the event that your surgeon is absent, another Endometriosis Center surgeon fills in daily. If your operation is carried out by a multidisciplinary team, the digestive and urological surgeons will visit you every day to check on the progress of your convalescence.
While you're in hospital, you'll also meet the clinical research associates, who are responsible for managing the database used in our clinical research activities. They will collect the pre-operative questionnaires and discuss with you any questions you feel are not sufficiently clear. We kindly ask you to take the time to answer these questionnaires, which have enabled us to carry out a large number of clinical studies that have made our center internationally renowned, and which have provided important information about the various treatments offered for endometriosis, as well as their immediate and long-term results.
We hope your stay in our clinic will be a pleasant one, and above all beneficial to your health.
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