Laparoscopic Excision/Ablation of Endometriosis
A minimally invasive surgical procedure to remove or destroy endometriotic lesions — offering significant pain relief and improved fertility outcomes for women with endometriosis.
What is Laparoscopic Excision/Ablation of Endometriosis?
Laparoscopic excision and ablation are the two primary surgical techniques for treating endometriosis. Excision involves cutting out endometriotic lesions completely, while ablation uses heat or laser energy to destroy the tissue surface. Excision is generally preferred for deeper or more complex lesions as it removes the full depth of disease and allows histological confirmation. Dr. Ashwani Narla performs laparoscopic endometriosis surgery at Lux Hospitals, Hyderabad, tailoring the technique to each patient's disease extent, symptoms, and fertility goals.
Suitable for women with confirmed or suspected endometriosis causing pelvic pain, dysmenorrhoea, dyspareunia, or subfertility — particularly when hormonal management has failed or is not tolerated.
How the Procedure Works
Anaesthesia & Port Placement
General anaesthesia is administered. Three to four laparoscopic ports are placed. The pelvis is surveyed and endometriotic lesions are mapped and staged.
Lesion Identification
All visible lesions on the peritoneum, ovaries, bladder, bowel, and ligaments are identified and their depth and extent assessed before treatment.
Excision or Ablation
Lesions are excised using scissors and energy devices or ablated with laser or diathermy. Deep infiltrating lesions are carefully excised to ensure complete removal.
Haemostasis & Irrigation
Meticulous haemostasis is achieved. The pelvis is irrigated to remove blood and debris, and all surfaces are inspected for residual disease.
Closure & Recovery
Ports are closed; the patient recovers in hospital for one to two days. Hormonal therapy may be commenced post-operatively to suppress recurrence.
Outcomes
Who Needs This Treatment?
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Significantly reduces or eliminates chronic pelvic pain and painful periods
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Improves fertility outcomes and natural conception rates
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Excision provides histological confirmation of endometriosis diagnosis
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Minimally invasive with small incisions and rapid recovery
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Can address multiple sites of disease in a single procedure
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Hormonal suppression post-surgery reduces risk of recurrence
Complete excision of endometriosis — not just surface treatment — is what delivers lasting pain relief. We map every lesion before we begin, and we don't leave until the pelvis is clear.
— — Dr. Ashwani Narla, Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Laparoscopic Excision / Ablation of Endometriosis Cost in Hyderabad
The cost of laparoscopic excision or ablation of endometriosis in Hyderabad depends on the extent and location of endometriosis, severity of pelvic disease, presence of adhesions or ovarian involvement, pre-operative investigations, surgical complexity, and post-operative care. Laparoscopic surgery is used to identify and treat endometriosis lesions through minimally invasive techniques. Depending on the location and appearance of the lesions, the surgeon may excise them by removing the abnormal tissue or ablate selected lesions using an appropriate energy technique. The estimated cost ranges from ₹1,20,000 to ₹2,50,000, with an average cost of approximately ₹1,85,000.
| Procedure | Approximate Cost Range |
|---|---|
| Standard surgical treatment | ₹1,20,000 ₹2,50,000 |
The actual cost may vary depending on the severity and extent of endometriosis and the structures affected. Disease involving the ovaries, pelvic sidewall, bowel, bladder, or other surrounding tissues may require more complex surgical management. The final estimate can also be influenced by diagnostic investigations, anesthesia, operating-room charges, duration of surgery, hospital stay, medications, and any additional procedures performed during the same operation.
The choice between excision and ablation depends on the location, depth, and characteristics of the endometriosis lesions, along with the surgeon's assessment and the patient's clinical circumstances. Treatment planning may also take symptoms, previous treatments, and fertility goals into account.
Factors Affecting Laparoscopic Endometriosis Surgery Cost
The cost of laparoscopic treatment for endometriosis can differ significantly because the disease may range from limited superficial lesions to extensive disease involving multiple pelvic structures. A detailed pre-operative assessment helps determine the likely surgical complexity and treatment approach.
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Extent of endometriosis: Limited disease may require less operative work, while extensive or deep disease can increase procedure complexity.
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Location of lesions: Endometriosis affecting the ovaries, bowel, bladder, pelvic sidewall, or other structures may require additional surgical expertise and time.
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Ovarian endometrioma: The presence of an ovarian endometrioma may require additional treatment during laparoscopy.
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Pelvic adhesions: Dense adhesions can make it more difficult to identify and safely separate pelvic structures and may increase operative time.
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Excision versus ablation: The technique selected depends on the lesion characteristics, location, depth, and clinical objectives.
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Pre-operative investigations: Ultrasound, MRI when appropriate, blood tests, and other evaluations may contribute to the overall treatment expense.
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Surgical complexity: More extensive disease can require longer surgery and additional specialist involvement where necessary.
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Surgical complexity: More extensive disease can require longer surgery and additional specialist involvement where necessary.
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Additional procedures: Adhesiolysis, treatment of endometriomas, or other procedures performed during the same surgery may increase the final expense.
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Post-operative care: Medicines, follow-up visits, monitoring, and recovery-related treatment can also affect the overall cost.
• Post-operative care: Medicines, follow-up visits, monitoring, and recovery-related treatment can also affect the overall cost.
Laparoscopic excision or ablation of endometriosis may be covered by health insurance when the surgery is considered medically necessary for a covered diagnosis. Coverage depends on the patient's policy, medical indication, waiting periods, exclusions, insurer guidelines, and pre-authorization requirements. Patients should confirm their benefits, applicable limits, and cashless treatment eligibility with their insurance provider before planned admission.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Ashwani Narla
Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Dr. Ashwani Narla, Consultant Obstetrician, Gynecologist & Laparoscopic Surgeon at Lux Hospitals, Hyderabad, evaluates patients with endometriosis and related pelvic conditions. During consultation, she reviews symptoms such as pelvic pain and painful menstruation, menstrual and reproductive history, previous treatments or surgeries, examination findings, and relevant diagnostic reports. She assesses the suspected extent and location of endometriosis and discusses whether laparoscopic surgery is appropriate. When surgery is recommended, the consultation may cover the choice between excision and ablation, the possibility of treating associated adhesions or ovarian disease, fertility-related considerations where relevant, expected recovery, potential additional procedures, and the estimated treatment cost.
Consultation with Dr. Ashwani Narla Consultation with Dr. Ashwani NarlaCommon Questions
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