All about robotic endometriosis surgery

Written in association with: Mr Zeiad El Gizawy
Published: | Updated: 04/12/2024
Edited by: Conor Lynch

Robotic-assisted surgery has revolutionised treatment for endometriosis, providing greater precision and improved outcomes for patients. Endometriosis is a painful condition where tissue similar to the uterine lining grows outside the uterus, often leading to chronic pelvic pain, infertility, and other health issues.

 

Traditional endometriosis surgery required large incisions and longer recovery times, while laparoscopic methods improved outcomes but had limitations in complex cases. Robotic-assisted surgery, however, combines the precision of minimally invasive techniques with enhanced control, making it a particularly effective option.

How the procedure is performed

Robotic endometriosis surgery is performed using a robotic system controlled by a skilled surgeon, who operates from a console. The robotic arms provide a greater range of motion and stability than a human hand, which is especially valuable in complex cases where endometrial tissue is located near critical organs, such as the bladder or bowel.

 

The high-definition 3D imaging provided by robotic systems allows surgeons to visualise small lesions and adhesions clearly, enhancing their ability to identify and precisely remove affected tissue. This precision helps reduce the likelihood of endometrial tissue being left behind, minimising the risk of recurrence.

 

Benefits

For patients, the benefits of robotic-assisted surgery are considerable. The smaller incisions and precise movements lead to less tissue trauma, which typically results in reduced post-operative pain and faster recovery times compared to open surgery. Many patients can resume normal activities within a few weeks.

 

Additionally, studies suggest that robotic surgery for endometriosis may improve fertility outcomes in women seeking pregnancy, as it reduces the risk of scarring and adhesions, which can impact reproductive organs. Robotic endometriosis surgery also generally shortens hospital stays and reduces the need for pain medications.

 

Despite its benefits, robotic endometriosis surgery may not be available at all medical centres due to high costs and the specialised training required. Additionally, the success of robotic surgery depends on the skill and experience of the surgeon, making it essential for patients to consult with specialists trained in robotic techniques for endometriosis.

 

Overall, robotic-assisted surgery is proving to be a valuable tool for treating endometriosis, providing a less invasive yet highly effective approach. For many patients, it offers a path to lasting symptom relief and improved quality of life, particularly when conventional surgical options have been unsuccessful.

By Mr Zeiad El Gizawy
Obstetrics & gynaecology

Mr Zeiad El Gizawy is a highly regarded consultant gynaecologist who specialises in menstrual disorders, endometriosis, painful periods, pelvic pain, fibroids, and fertility treatments. With over 20 years’ experience, Mr El Gizawy is highly proficient in minimally invasive surgical techniques, including laparoscopy and robotic surgery, and is also an accredited endometriosis surgeon with the British Society for Gynaecological Endoscopy.

Mr El Gizawy, who consults privately at the renowned Nuffield Health North Staffordshire Hospital, Brampton Medical, and Rowley Hall Hospital, originally qualified from Ain Shams University in 1999. He undertook higher specialist gynaecology training on the distinguished West Midlands Deanery before going on to accomplish two prestigious fellowships in advanced robotic gynaecology surgery in Strasbourg and Paris. Furthermore, Mr El Gizawy has a postgraduate diploma in advanced gynaecology endoscopy from the University of Surrey, and is a fellow of the Royal College of Obstetricians and Gynaecologists since 2021. 

Alongside his surgical commitments, Mr El Gizawy is a prominent clinical researcher and the principal investigator for multicentre studies in endometriosis, premenstrual syndrome, and pelvic surgery. He is also a committed medical trainer, and served as clinical lecturer for Keele University for three years during which he additionally obtained a postgraduate diploma in medical education. As a specialist, Mr El Gizawy is passionate about raising endometriosis awareness and, in his clinical practice, collaborates in partnership with his patients to achieve a holistic approach to treatment.

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