Diagnostic Laparoscopy in Endometriosis
Endometriosis: A Multifactorial Condition with Varied Pelvic Involvement
Endometriosis is a complex condition that can affect various locations in the pelvis.
Below, we provide a structured explanation of the key aspects of this disease and the procedures used to diagnose and treat it.
Book Your Consultation Today With an Endometriosis Specialist in India – Dr Jay Mehta
Theories of Endometriosis
Can Endometriosis Cause Cancer?
Mapping Endometriosis: Our Advanced Techniques
At Shree IVF & Endometriosis Clinic, we have developed expertise in mapping even the smallest endometrial lesions using advanced tools like high-resolution and 3D ultrasound.
- Procedure Duration: Mapping endometriosis can be time-consuming, usually taking around 35-40 minutes.
- Precision: This technique helps identify disease at various locations within the pelvis, enhancing accuracy for treatment planning.
MRI as an Alternative for Mapping Endometriosis
In clinics where expertise for specialized ultrasound isn’t available, an MRI of the pelvis and abdomen is often used.
- Expert Interpretation: The interpretation of an MRI requires significant expertise, especially to detect deep nodules of endometriosis.
- Limitations:
- MRI may miss lesions smaller than 0.7 cm.
- Unlike ultrasound, MRI is static and lacks dynamic imaging capability, making it less useful in some cases.
Challenges in Diagnosing Nodular Endometriosis
In India, many clinicians may lack adequate training in identifying nodular endometriosis, which leads to a large proportion of the disease being missed. Even with available expertise, tiny lesions can escape detection due to their small size.
From Diagnostic to Operative Laparoscopy
Laparoscopy, once primarily used as a diagnostic tool, has evolved into an operative procedure. In many centers across India, patients are often advised to undergo repeat surgery with an endometriosis specialist following an initial diagnostic laparoscopy. Unfortunately, this can discourage patients from seeking immediate corrective surgery.
Why Expertise Matters in Endometriosis Treatment
Endometriosis requires specialized skills for both diagnosis and surgery. This is why it’s crucial for the condition to be managed by experts who understand its complexities. At our center, we emphasize that all endometriosis surgeries should be performed by specialists who can handle both diagnosis and excision.
Our expert team, led by Dr. Jay Mehta, one of India’s top endometriosis surgeons, handles every endometriosis surgery with precision, ensuring the best possible outcomes for patients.
Our Approach: Excisional Surgery for Endometriosis
At our centers of excellence across India, we do not perform diagnostic laparoscopy. Instead, all surgeries are excisional, where the disease is completely removed.
- Peritoneal and Small Lesion Diagnosis: We often identify peritoneal endometriosis and small lesions during surgery in areas like the appendix, diaphragm, caecum, and small bowel.
- Complete Removal: Once the disease is identified, our focus is on excising it, as surgical removal is currently considered the mainstay treatment for endometriosis.
Dr Jay Mehta, Director of Shree IVF and Endometriosis Clinic, as well as the Director of Uterine Transplant in Global Hospitals, Mumbai. He is a leading laparoscopic gynecologist in India for endometriosis and adenomyosis. He is a well-known Fertility and IVF Specialist and also among few doctors in the country who specializes in Embryology and Andrology. He operates India’s major cities including Mumbai, Pune, Chennai, Hyderabad, Bangalore, Ahmedabad, Agra, Delhi etc. To book an appointment, call: +91 - 9920914115 Dr. Jay Mehta
MBBS, DNB – Obstetrics & Gynecology
IVF & Endometriosis Specialist, Laparoscopic Surgeon (Obs & Gyn)
Google Reviews
Ankita Katyal
I am incredibly grateful for Dr. Jay's exceptional support throughout my IVF journey. Dr Jay has been like God sent an Angel for us. From our very first meeting, it was clear that Dr. Jay was not only a highly skilled and knowledgeable professional but also someone who genuinely cared about my well-being.
From my first meeting, he was very clear transparent, and straightforward about my protocol, treatment line, and success rate. After two difficult IVF cycles that failed, I was beginning to lose hope.
However, Dr. Jay’s unwavering encouragement and meticulous care helped me stay positive and focused. Thanks to God and of course to his expertise and dedication, WE FINALLY ACHIEVED SUCCESS!!!!!
Krish A
Dr Jay Mehta is the best Fertility doctor. I am glad to have IVF done with Jay sir.
This unit is very ethical and very honest at work. In my previous IVF cycle, I did not have embryos in Chennai. I was here and Dr and team had told me not to worry. I was given end to end transparency about my embryos and I was lucky to become pregnant in the 1st cycle here, though I was told that the success rate will be about 25 to 30%.
IVF space is competitive, but these guys don't do any Ads on Google. And still if you search, Dr Jay is ranked no.1. I was extremely impressed with that and I am happy that I took a call to travel to Mumbai from Chennai.
I am thankful to the entire team for handling my case nicely. And May God shower the team with his choicest blessings.
Forum Shah
I visited 3 years back for my IVF treatment at that time and also got good treatment with Dr. Jay Mehta … the best part is he would tell me straight away whatever the cause and outcome would be.
This time also I came for Endometriosis treatment n within 3-4 days decided to get operated as there was no looking back as I trust him for his treatment. Thank you Dr once again for the right advice 😊
Deepak Jagadale
Dr Jay Mehta and team are simply excellent people and brilliant outcomes in Fertility services. Very very honest and humble doctor.
Thank you for the valuable guidance during the IVF process and the excellent and no hidden costs during IVF procedure. For middle class people it's a big relief.
Avinash Jain
Dr. Jay Mehta is a result-oriented specialist in his field and the best we could ask for, in a Metro city. His line of treatment for IVF is different from other IVF clinics.
The support provided by doctors and staff as well as all other attending doctors is phenomenal. We are very satisfied and will also highly recommend to others the IVF treatment at Shree IVF Clinic Mumbai.
Vijaya Garg
Dr. Jay Mehta is one of the best gynaecologist doctor of our India. I trust him faithfully and would like to recommend each and every one that don't waste time moving here and there to another doctorand .
I m sharing my experience I wasted my time mand oney by moving from one doctor to other and my problem was unsolved I'm thankful to Dr. Priyanka Shukla mam of trident hospital for suggesting Dr. Jay Mehta sir for my treatment . Now I'm pain-free...Thank you Dr. Jay Mehta sir... you are really my Boley baba shiv shsmbu. I m thankful to all the staff members of Shree IVF hospital
Blogs
Can Endometriosis Cause Cancer?
Untreated endometriosis can sometimes lead to a rare type of ovarian cancer called clear cell ovarian cancer. If you have endometriosis and your CA 125 levels are high, you may feel more anxious
Where does Endometriosis Occur?
Endometriosis affects both pelvic and extra pelvic areas, commonly involving the bowel, appendix, caecum, small intestine, uterosacral ligaments, bladder, and ureters
Videos
Post-Surgical Care & Recovery After Endometriosis Surgery
Patients typically discharged within 48 hours after minimally invasive surgery. Rest 1-2 days, avoid heavy lifting/exercise for 10 days
Role of Oral Contraceptive Pills in Endometriosis Management
Oral contraceptive pills help prevent disease recurrence and are a safe, effective method for managing symptoms and postponing fertility. Always consult your gynecologist for advice