Endo What Movie
HomeNews & EventsPatient TestimonialsPatient FormsContact Us
Excision of Endometriosis Hysterectomy Myomectomy Ovarian Cystectomy

Iris Kerin Orbuch, M.D. | Advanced Robotic & Laparoscopic Surgery

Robotic Excision Of Endometriosis

The da Vinci system with its 3-D High Definition Camera allows for precise excision of endometriosis. Excision of endometriosis is the gold standard treatment for endometriosis. Ideally all endometrial lesions should be excised. Unfortunately most gynecologists are not trained in advanced endometriosis cases. Others approach endometriosis with cautery or a laser, two modalities shown to be far inferior to excision using scissors, the method performed by Dr. Orbuch. With scissors, the endometrial implants are removed, but with cautery or a laser the lesion remains and continues to cause pain necessitating more surgery. A doctor utilizing laser may vaporize the surface of the lesion, but still leaves active endometrial tissue below. Deep fibrotic endometriosis usually does not respond well to hormonal suppressive therapy. Adequate surgical excision of endometrial implants provides the best symptomatic relief and long term results. In addition, surgical excision has been shown to improve fertility rates in women. Drug therapy can suppress endometriosis, not eradicate endometriosis. The definitive treatment of endometriosis is NOT hysterectomy or removal of both ovaries; rather it is complete excision of endometrial lesions.

Excisional surgery makes sense if one understands what endometriosis is. Normally during a monthly cycle, a woman's' endometrium, or uterine lining builds up then is shed as her monthly flow of menses. The endometriosis areas growing outside the uterus go through a similar cycle but because the build up cannot leave the body, the implants get deeper and deeper. Additionally, endometriosis lesions can irritate nearby tissue causing adhesions, scarring, and pain. Over time, endometriosis can grow into nodules causing scaring to nearby organs. Excision of endometriosis is the only therapy to objectively cure disease and thus improve quality of life. Dr. Orbuch excises endometriosis using Wolf blunt scissors, a technique initially performed by Harry Reich, M.D., a leader in advanced gynecological endoscopic surgery. This technique, along with other advanced laparoscopic techniques, was learned during her advanced laparoscopic fellowship with Dr. Harry Reich and Dr. C.Y. Liu.

Read Dr. Iris Orbuch's article "Interstitial Cystitis – Endometriosis' "Evil Twin"

More endometriosis resources
The Endometriosis Association
Endometriosis.org

Patient Testimonials

Testimonials

We work hard to create a professional, yet caring, compassionate atmosphere.

We invite you to browse through a few words sent to us by our patients.

More...

Locations & Directions

Locations & Directions

Our offices are located in SoHo, in Lower Manhattan, New York City

Click the green button below to get detailed directions and options for getting to our offices.

More...

Get Answers Fast

Excision of Endometriosis
Hysterectomy
Myomectomy
Ovarian Cystectomy

Articles about Dr. Iris Orbuch
Read about Dr. Orbuch helping a patient in her struggle with Endometriosis.
Dr. Iris Orbuch Monthy Cosmo Article
Read Dr. Orbuchs weekly column on Cosmo Online.

What is Robotic Surgery?

Robotic Surgery is a special form of surgery that allows specially trained physicians to perform surgery with amazing precisions and accuracy.
Read more about Robotic Surgery

Hospital Affiliations

Midtown Surgery
Center

Midtown Surgery Center

Mount Sinai
Hospital

Mount Sinai

Beth Israel
Medical Center

Beth Israel

Lenox Hill
Hospital

Lenox HIll

HOME | PATIENT TESTIMONIALS | LOCATIONS & DIRECTIONS | ABOUT DR. IRIS ORBUCH | CONTACT US

EXCISION OF ENDOMETRIOSIS | HYSTERECTOMY | MYOMECTOMY | OVARIAN CYSTECTOMY | DA VINCI ROBOTIC SURGERY

Dr. Iris Kerin Orbuch | (212) 343-3040 ext. 3 | 202 Spring Street, 2nd Floor | NY, NY 10012