What is laparoscopic excision of endometriosis done with?

The surgeon places a narrow camera through an abdominal opening so the pelvis can be viewed on a monitor. Additional small openings allow instruments to separate endometriosis from nearby tissue and remove visible lesions while aiming to protect organs such as the bowel, bladder, ureters, ovaries, and uterus. The approach and instruments may change if disease is extensive or involves another specialist area. [Laparoscopic Surgery System](/technology/laparoscopic-surgery-system/) explains the equipment, while the procedure page describes the operation.

Before surgery, discuss the location of disease seen on scans or examination, possible involvement of the bowel or bladder, anaesthesia, and whether another specialist may be present. Tell the team about medicines, allergies, previous operations, and pregnancy plans. Afterward, follow instructions about wound care, movement, bathing, pain relief, and returning to work. The [Laparoscopic Excision of Endometriosis](/treatments/gynaecological-surgery/laparoscopic-excision-of-endometriosis/) page may help you prepare questions.

After surgery, seek urgent medical advice for severe or increasing abdominal pain, heavy vaginal bleeding, persistent vomiting, fever, fainting, chest pain, or difficulty breathing. Contact the surgical team if a wound becomes increasingly red, swollen, painful, or produces pus. Inability to pass urine, marked abdominal swelling, or new bowel symptoms also requires prompt assessment.

Where is the endometriosis located? Which organs might need assessment? What instruments or specialist support may be required? How will pain, fertility goals, and recovery be addressed?