![]() The specific techniques employed and opinions as to the best tool for the job vary between surgeons. In modern-day surgery, advanced endometriosis surgeons typically combine mechanical and thermal excision during the same surgery selecting the technique most suited to the given situation. All in all, the introduction of thermal excision (linear vaporization) to laparoscopic surgery has revolutionized endometriosis surgery it has enabled highly skilled surgeons to safely remove all of a patient’s endometriosis during one single minimally invasive procedure. ![]() ![]() Complex surgeries would likely need to be conducted in several steps, spread across two or more procedures, or the surgeon would need to convert to laparotomy (large incision) rather than laparoscopy (keyhole surgery) in order to complete the procedure in a timely manner. If only mechanical energy were used, the length of surgery would become untenable both to the surgeon (physical exhaustion and elevated risk of error) and to the patient (a longer duration of anesthesia carries higher risks of peri- and post-operative complications). The advantage of thermal excision over mechanical excision is that it is more time efficient. The surgery involves making a small incision near each hip to access the blood vessels. Often the term “vaporization” is confused with “burning” or “coagulation” but in actual fact, linear vaporization is just another term for thermal excision – using high-intensity thermal energy to vaporize the tissue in a linear plane. Endovascular surgery is an innovative, less invasive procedure used to treat problems affecting the blood vessels, such as an aneurysm, which is a swelling or 'ballooning' of the blood vessel. Thermal excision uses electrosurgery, CO2 laser or harmonic scalpel to apply a high-intensity heat source to the tissue in a linear fashion, producing linear vaporization. This method of surgery is also referred to as cold cutting because no heat is involved. Mechanical excision uses only the mechanical shearing force of scissors, without the aid of electrical energy. Clinical trialsĮxplore Mayo Clinic studies of tests and procedures to help prevent, detect, treat or manage conditions.Excision can be performed surgically in one of two ways: (1) Mechanical Excision, or (2) Thermal Excision. Your surgeon might use another technique that involves cutting the carotid artery and turning it inside out, then removing the plaque. Then your surgeon will repair the artery with stitches or a patch made with a vein or artificial material. Your surgeon will make a cut along the front of your neck, open your carotid artery, and remove the plaque deposits clogging your artery. A thin tube called an endoscope is thread through your nose and sinuses. Or you may be given general anesthesia that puts you in a sleep-like state. What is endoscopic endonasal surgery Endoscopic endonasal surgery is a minimally invasive technique that allows a surgeon to go through the nose to operate on areas at the front of the brain and the top of the spine. Endometriosis happens when tissue similar to the lining of the uterus grows outside of your uterus and on other areas in your body where it doesnt belong. It gets its name from the word endometrium, the tissue that normally lines the uterus or womb. What you can expectįor carotid endarterectomy surgery, you may be given a numbing medication. Endometriosis, sometimes called 'endo,' is a common health problem in women. A metal mesh tube (stent) is often inserted to decrease the chance of the artery narrowing again. ![]() The balloon is then inflated to widen the artery. In this procedure, doctors thread a long hollow tube (catheter) with a small balloon attached through a blood vessel in your neck to the narrowed artery. If carotid endarterectomy isn't the best option for you, you might have a procedure called carotid angioplasty and stenting instead of carotid endarterectomy. Your doctor will evaluate your condition and determine whether you're a candidate for carotid endarterectomy. ![]() You may or may not be experiencing symptoms. It can be helpful to know what to expect during your visit. There are several other factors that will be considered other than the degree of blockage in the artery. If you see an endodontist, you are most likely there to get a root canal. Surgeons may also perform a lateral pancreaticojejunostomy with this procedure to widen the connection between the pancreas and small intestine. In carotid endarterectomy, a surgeon opens the carotid artery to remove the plaques that block it.ĭoctors may recommend carotid endarterectomy if you have a severe narrowing in your carotid artery. ![]()
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