What is the difference between excision surgery and laser surgery for endometriosis?
In the words of Dr. Redwine: “Laser surgery has never been studied with respect to how well it eradicates endometriosis. Many times it simply burns too shallowly. Excision allows the surgeon to remove all of disease in any location, regardless of whether it is superficial or deep. Because laser does not always eradicate endometriosis, it can be like trying to run on a sprained ankle. The endometriosis is still there, but it’s been irritated by the heat of the laser and can hurt worse for that reason. Also, laser can leave carbon behind, and the carbon can result in a foreign body giant cell reaction, which can be a cause of pain.” In the words of Dr. Robbins: “Studies have been done on how deep the endometriosis disease invades and how far the different treatments penetrate. The carbon dioxide laser is basically a drill and can go as deep as the surgeon wants to go. But the reality is that most often these energies are used superficially. Superficial application of laser (Carbon dioxid
