Laparoscopic Surgery for Endometriosis
Laparoscopic Surgery for Endometriosis
When medication and hormonal therapy no longer control endometriosis pain, or when the disease is affecting fertility, laparoscopic (keyhole) surgery is often the most effective next step. At Genesiss Multi-Speciality Hospital, Dr. Divya J G – Senior Obstetrician & Gynaecologist and Advanced Laparoscopic Surgeon in BTM Layout, Bangalore, performs precision laparoscopic procedures to remove endometriotic tissue, restore normal pelvic anatomy, and improve chances of natural conception.
When Is Surgery Recommended?
- Pain that does not improve with medication or hormonal therapy
- Endometriomas (ovarian cysts caused by endometriosis)
- Endometriosis affecting the bladder, bowel, or ureters
- Unexplained infertility linked to endometriosis
- Suspected pelvic adhesions distorting normal anatomy
- Need for a definitive diagnosis through direct visualization
The Laparoscopic Procedure
- Performed under general anaesthesia through 2–3 small (5–10 mm) incisions
- A laparoscope (camera) allows real-time visualization of the pelvic organs
- Endometriotic implants, cysts, and scar tissue are excised or ablated with specialised instruments
- Adhesions are carefully released to restore normal organ position and function
- Typically completed within 45–90 minutes, depending on disease severity
Benefits of the Laparoscopic Approach
- Small incisions with minimal scarring
- Significantly less post-operative pain than open surgery
- Shorter hospital stay — most patients go home within 24 hours
- Faster return to daily activities, typically within 1–2 weeks
- Better visualization allows more precise, fertility-preserving removal of disease
- Lower risk of infection and blood loss
Recovery & Aftercare
- Mild cramping or shoulder-tip pain for 1–2 days is normal
- Light activity can usually resume within a few days; full recovery in 2–3 weeks
- Hormonal therapy may be advised post-surgery to reduce recurrence
- Regular follow-up ultrasounds to monitor for recurrence
- For patients trying to conceive, fertility planning typically begins a few months after surgery
Why Choose Dr. Divya J G for Laparoscopic Endometriosis Surgery
- Extensive experience in advanced laparoscopic gynaecological surgery
- Fertility-preserving surgical technique for women planning pregnancy
- Advanced imaging (ultrasound/MRI) for precise pre-surgical planning
- Personalised recovery and hormonal management plans
- 24×7 post-operative support at Genesiss Multi-Speciality Hospital
FAQs
Is laparoscopic surgery painful?
Most patients experience only mild discomfort, well managed with pain medication, and far less pain than open surgery.
How long does recovery take after laparoscopic endometriosis surgery?
Most patients return to normal activity within 1–2 weeks, with full internal healing by 3–4 weeks.
Will surgery affect my fertility?
Laparoscopic excision is fertility-preserving and can improve natural conception rates by removing disease that blocks the tubes or ovaries.
Can endometriosis come back after surgery?
Recurrence is possible, which is why follow-up care and, in some cases, hormonal therapy after surgery are recommended.
Is laparoscopy safer than open (abdominal) surgery?
Yes. Laparoscopy carries a lower risk of infection, less blood loss, and a faster recovery compared to open surgery.
Dr. Divya J G Dr. Divya J G is an exceptional and highly skilled Obstetrician & Gynaecologist, recognised for her expertise in maternity care, pregnancy scans, and advanced gynaecological and laparoscopic surgeries. She completed her MBBS at Mysore Medical College and Research Institute (MMCRI) and earned her MS in Obstetrics and Gynaecology from Bangalore Medical College. With over 13 years of clinical experience, Dr. Divya J G is known for her meticulous attention to detail and patient-centred approach. She carefully understands each woman’s unique health needs and delivers personalised, evidence-based care to ensure safe pregnancies, effective treatments, and optimal outcomes.
Dr. Divya J G has extensive experience in managing a wide range of obstetric and gynaecological cases, including comprehensive maternity care, gynaecological surgeries, infertility evaluation, and IVF-related treatments. Beyond her clinical expertise, she is known for building strong trust and confidence among her patients through compassionate, patient-centred care and clear communication. From fertility counselling and conception planning to pregnancy, delivery, and post-treatment recovery, Dr. Divya J G ensures that every woman feels well-informed, supported, and at ease throughout her medical journey. Her commitment to ethical practice and evidence-based treatment consistently contributes to positive patient experiences and successful outcomes.
