Endometriosis excision surgery is a highly specialized procedure used to treat endometriosis by completely removing all visible disease from affected organs and tissues. Unlike methods such as ablation or coagulation, which burn the surface of the lesions, excision involves cutting out the disease at its root, including deep and infiltrative components that often go untreated in traditional surgeries.
In many standard gynecologic surgeries, endometriosis is either coagulated (burned) or ablated using heat, laser, or electrosurgical tools. While this may reduce superficial symptoms temporarily, it often fails to treat deep lesions, leaving behind active disease that continues to cause pain, inflammation, and fertility issues.
Excision surgery differs in several critical ways:
Dr. Meyer’s philosophy is centered around complete excision, ensuring the disease is physically removed—not simply masked or cauterized.
Excision surgery is ideal for patients with:
Even if you’ve had surgery before, complete excision by an experienced surgeon can significantly improve your outcomes—especially when prior treatments involved coagulation or incomplete removal.
Deep infiltrating endometriosis is a complex and often debilitating form of the disease that penetrates more than 5mm beneath the peritoneal surface. It can involve:
Dr. Meyer uses high-resolution imaging, laparoscopic mapping, and multidisciplinary collaboration to identify and completely remove deep endometriosis while preserving fertility and minimizing surgical risks.
Thoracic endometriosis is a rare but serious manifestation of the disease in which endometrial-like tissue migrates to the diaphragm, lungs, or pleural cavity. It can cause:
Diaphragmatic endometriosis may exist alongside pelvic disease and often goes undiagnosed without proper surgical evaluation.
Dr. Meyer is one of the few gynecologic surgeons trained to manage diaphragmatic endometriosis using robotic excision, often in collaboration with a thoracic surgeon. His expertise allows patients to receive comprehensive care in a single surgery, avoiding incomplete treatment and recurrence.
Dr. Meyer performs all excision surgeries using minimally invasive techniques—either laparoscopic or robotic-assisted—depending on the extent of disease and patient anatomy.
Key elements of his approach include:
By removing disease while protecting surrounding structures, Dr. Meyer reduces the risk of adhesions, scar formation, and long-term complications.
Because excision is more technically demanding than ablation, it’s essential that it be performed by a surgeon with specialized training. When done properly, most patients experience:
Dr. Meyer’s patients often return to work within 7–14 days, depending on the complexity of their case. Recovery protocols are customized to each patient’s procedure, lifestyle, and fertility plan.
Excision surgery has been shown to:
Dr. Meyer works closely with reproductive endocrinologists to coordinate timing, medications, and follow-up care for patients actively pursuing pregnancy. His fertility-sparing surgical techniques ensure that as much ovarian and uterine tissue as possible is preserved while thoroughly removing disease.
Dr. Meyer brings a rare combination of surgical precision, multidisciplinary coordination, and personalized care to endometriosis surgery. With deep experience in treating all forms of endometriosis—including thoracic and deeply infiltrating types—he is committed to offering patients the best possible outcomes through evidence-based, minimally invasive care.
He believes that every patient deserves both relief and answers—and that surgery should be definitive, not temporary.
If you’ve been living with chronic pelvic pain, have had multiple surgeries without lasting relief, or suspect thoracic or deep endometriosis, it’s time to speak with an expert who specializes in complete excision. Dr. Meyer provides second opinions, individualized treatment plans, and surgical solutions grounded in research, precision, and compassion.
Book your consultation today and take the first step toward healing with confidence.
