Think of it as the analogy of weeding. Laprascopic ablation surgery lasers and gets rid of the surface area of endo lesion (burns plant leaves and stems above-ground), but doesn't dig up the entire weed by the root (laproscopic excision surgery), so the weed grows back from the implanted root left behind. (Laproascopic ablation on endo impants is different procedure from "endometrial ablation" which burns the natural endometrial tissue inside the uterus to stop menstruation.

Ablation is when they use to the laser to just burn off the top of the endo they found. They can't use in certain spots, like the bowels, bladder. So they leave that behind.

That is true if you have a full out uterine ablation but when they just burn the endo spots, it's often called that as well.

@A MyEndometriosisTeam Member Most gyn's do not do excision surgeries for endo. It's time consuming and requires a skillset that simply isn't part of standard training. It is possible you had excision.

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Love the explanation @A MyEndometriosisTeam Member. Reading Dr. Andrew Cooks book, all of that was said, and more. I have read 3 books on Endo and his was an easy read and completely explains endo all around and the different treatments used and why. The endocrinologist I used for my first surgery to help me get pregnant said the same thing. Remove uterus and it stops the endo. He also gave me on a 3 month shot of lupron depot to stop estrogen. Lesions make their own estrogen so taking the shot may have helped some symptoms, while giving me a heep of more symptoms, it is not a cure. Bandaid at best. Wide excision surgery is what is recommended. They need to remove implants as well as some healthy tissue around implants to make sure non of the endo is left behind. I am just starting to research what doctor I am going to use for my next surgery. I want to see Dr. Cook in CA but my insurance is considered out of network so not sure what my out of pocket would be. It's stressful because I really believe that getting a great surgeon is the most important decision I can make to get the best relief for this horrible disease. I wish everyone here the best when making that decision.

Explains in more detail the difference in procedure and difference in complication risks between the two.

https://www.endometriosisaustralia.org/single-p...