![]() The skill and time required means that it is not used by all gynaecologists. Of the two techniques, excision is more effective, requires more skill, and is more time consuming. The possibility of accidentally damaging the underlying tissue means that most gynaecologists are wary of using coagulation on implants that lie over vital organs, such as the bowel and large blood vessels. Care must also be taken to ensure that only the implant is destroyed, and no underlying tissue, such as the bowel, bladder or ureter, is damaged. When coagulating implants, care must be taken to ensure that the entire implant is destroyed, so it cannot regrow. The technique does not damage the implants, so the gynaecologist is able to send a biopsy of the excised tissue to the pathologist to confirm that it is endometriosis and not cancer or another condition.Įxcision allows the gynaecologist to separate the implants from the surrounding tissue, thus ensuring that the entire implant is removed and no endometrial tissue is left.Ĭoagulation destroys implants by burning them with a fine heat gun or vaporising them with a laser beam. ![]() laparoscopic uterine nerve ablation (LUNA) and presacral neurectomy (PSN).Įndometrial implants can be treated using two techniques:Įxcision removes endometrial implants by cutting them away from the surrounding tissue with scissors, a very fine heat gun or a laser beam.removal of one or both ovaries (oophorectomy). ![]()
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