Does an obstetrics and gynaecology specialist perform laparoscopic excision of endometriosis?

Laparoscopic excision uses small abdominal openings and a camera to inspect the pelvis. The surgeon cuts out visible endometriosis lesions while aiming to protect nearby organs and healthy tissue. The operation can involve the ovaries, bowel, bladder, or pelvic sidewall, so complexity varies. A specialist may refer you to a team with advanced endometriosis experience when disease is extensive or close to another organ. Surgery is planned around symptoms, examination, imaging, fertility wishes, and previous treatment.

Take a symptom history covering period pain, pain with sex, bowel or bladder symptoms, and effects on daily life. Bring scan reports and a list of medicines or previous procedures. Ask what the surgeon expects to find, whether another specialist may be present, what recovery restrictions apply, and how surgery fits with medication or fertility planning. Read detailed treatment information before consenting.

After surgery, contact the clinical team promptly for fever, increasing abdominal pain, persistent vomiting, heavy vaginal bleeding, wound redness or discharge, chest pain, breathlessness, or difficulty passing urine. Sudden severe pelvic pain with faintness or vomiting also needs urgent assessment, whether or not endometriosis has been diagnosed.

Ask how lesion removal will be confirmed, what organs might be involved, whether excision or another approach is planned, and how risks could affect bowel, bladder, fertility, or ovarian function. Clarify expected follow-up and symptoms that should trigger an urgent call.