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Diagnostic Technique
Endometriosis can only be definitively diagnosed through laparoscopic surgery. This step is for adolescents who do not feel pain relief from the other non-surgical treatment options
Removing The Lesions
Laparoscopy
Laparoscopy is the surgical treatment used in diagnosing and treating endometriosis. It is one of the only definitive ways to confirm endometriosis and cut away the lesions.
Laparoscope: The Tool
The laparoscope is the key tool for diagnosing Endometriosis. It is an instrument that allows the user to see the internal areas.
Cold Light Source

Shaft
Can be various sizes such as 3mm, 5mm, or 10mm
Laparoscopy: Surgical Steps

Make The Necessary Incisions
After proper anesthesia and sterilization protocols, make a small incision in the abdomen. The incision amount will vary depending on the scope of the area. Usually 2-4 incisions are effective for this procedure.
These incisions are created using a scalpel. They are about1/4 of an inch (0.5-1.5 cm) in length.

Inflate The Abdomen With Gas
In order for the laparoscope to have a clear view, fill the abdomen with CO2. The gas creates a space in the peritoneal cavity so that the organs can be clearly seen.

Insert The Laparoscope
Insert the laparoscope through the incisions. Once inside, search for endometrial tissue.

Locate Endometrial Tissue
Using the 2D image shown from the laparoscope, begin looking for the lesion types previously discussed.
Click here to review or investigate the various lesions that are common to adolescent endometriosis.

Remove Endometrial Lesions
There are various instruments that may be used to cut away the lesions. The technique varies based on size, location, how advanced the disease is, and personal preference.

Close Incisions
Once the surgery is complete the incisions should be closed. It is important to monitor the patient over time to ensure the surgery worked and their pain has lessened.
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