Endometriosis (Chocolate Cyst) is not a disease that is recommended to be operated immediately. Due to its characteristic structure, chocolate cyst is one of the only disorders where the same treatment cannot be predicted for each patient who needs to be treated individually.

When and Who Is Endometriosis Surgery Recommended?

Endometriosis Surgery is usually recommended if unbearable pelvic pain, cramps cannot be controlled with medication, growth cannot be stopped in the pelvic region. One of the most important surgical reasons is endometriosis surgery, which causes infertility.

Endometriosis (chocolate cyst) can reduce the patient's quality of life incredibly and disrupt his daily life psychology, and the surest way to reduce these effects is endometriosis surgery.

What is Conservative Surgery in the Treatment of Endometriosis?

Endometriosis surgery for infertility treatment is called conservative endometriosis surgery. The most important condition in conservative surgery is to clean it in the most suitable way for the baby without damaging the surrounding organs and tissues. The surgery should be planned completely accordingly. Endometrioma tissue due to endometriosis should be removed with this precision. Therefore, both the method to be used and the experience of the surgeon are of great importance. With its high vision and superior mobility, robotic surgery provides a great advantage in endometriosis surgery, especially in conservative endometriosis surgery. Of course, conservative surgery can also be performed with open surgery or laparoscopic surgery.

It is the process of cleaning endometriomas due to endometriosis by opening from the abdomen with an incision such as a cesarean section. Although it is not preferred very often with the developing techniques today, open surgery may be required in some cases. Recovery time is much longer than other methods.

Laparoscopic endometriosis surgery is performed with a laparoscope through small incisions in the abdomen. In laparoscopic endometriosis surgery, the area is examined in detail with cameras and the endometrial tissues are cleaned. Since the incision is much less, recovery is much faster. Pain and other surgery-related symptoms are much less.

With laparoscopic endometriosis surgery, which is one of the conservative endometriosis surgical methods, infertility caused by endometriosis is eliminated.

Endometriosis surgery is both much more comfortable and less risky with the robotic surgery method, which includes the best aspects of open surgery and laparoscopic surgery. Because Endometriomas are sticky tissue. Detailed and fine workmanship is required. With the possibilities of robotic surgery, this becomes much easier. Elimination of infertility for pregnancy in robotic endometriosis surgery is much more possible with the physician's ability to arrange the ovaries and uterus perfectly. After robotic endometriosis, the incisions are smaller compared to all methods, and since the blood loss is much less, recovery is much faster.

Eğer bebek beklentisi yoksa ve şikayetler çok yoğunsa endometriozisin en kesin tedavisi rahim alınması diyebiliriz. Endometriozis tekrarlayabilen bir hastalıktır. Histerektomi oluşmasını kalıcı olarak önleyebilir. Hangi histerektomi yöntemi ile yapılması gerektiğine doktorunuz ile beraber karar verebilirsiniz.

Before the operation, standard tests (blood, urine, EKG, etc.) should be performed. Vaginal ultrasound is used to determine the cysts and their size, as well as cystourethroscopy for endometriotic lesions in patients with bloody urine, and colonoscopy if bloody stools are present. In addition, MRI can be used for location and preoperative planning for the diagnosis of deep endometriosis. Before the operation, you must inform your doctor about the medications you regularly use. Before the operation, your diet rich in vitamin E is valuable for the operation process.

Yumurtalıklarından, rahmin üzerinden, üretere, rektuma, sakrouterin bölgeye yerleşmiş, bu alanları birbirine yapıştırmış ve bizim en sevmediğimiz kist türü olan çikolata kistlerinden sevgili hastamız Elif hanımı kurtarmış bulunuyoruz. Gerçekten ilmek ilmek işlediğimiz, upuzun süren zor bir ameliyatı daha başarıyla yapmanın verdiği sevinçle, gururla ve sevgili hastam Elif hanım ile karşınızdayım...
Bu dertten müzdarip nice hastama sesleniyorum; Siz korkmayın! Biz korkalım. Tabii ki şaka, elimizden gelenin en iyisi ile hep yanınızda olmaya devam. 
 

Another patient of mine who smiles again thanks to closed, that is, laparoscopic surgery. Mrs. Funda, who quickly returned to her health, work, home, and husband and felt as if she had never had an operation.

She applied to our clinic from Gaziantep. For about 15 years, she had many tests, various hormone treatments, surgeries, and applied to many doctors due to her deep chocolate cyst disease, but unfortunately she could not get results, on the contrary, the side effects of these treatments caused her to experience more difficult processes. . We performed deep endometriosis surgery on our patient with the closed surgical technique, we eliminated all the problems that cause pain without overlooking even the smallest details, we eliminated the deep foci that spread to the urinary tract and intestine one by one. Now our patient is extremely healthy, she has recovered, today we have dressed her and removed his stitches.

Dear Simge, after long researches, she found us and came to our clinic from Cyprus There were adenomyotic area, rectovaginal nodule, endometriotic cysts, fibroids and adhesions. We cleaned all of them one by one with the closed surgical method and regained our patient's health.

We cleaned the endometriosis foci and adhesions in our patient's ovaries with closed surgery, freed her tubes and bowel involvement, and finished her surgery by doing a lot of work.

We successfully completed a deep chocolate cyst surgery closed with the laparoscopic method. If you ask my patient, yes, she is extremely well, healthy and of course, I am very happy that he got rid of her endometriosis, which causes all the uterus and ovaries to stick together, with closed surgery, and that we preserved her ovaries. We patiently managed this difficult surgery that we performed with my team, and we restored my patient's health.

My dear patient applied to us with the complaint of chocolate cyst, we performed deep endometriosis surgery with laparoscopy for our patient. Because of these cysts, every area including lymph nodes, appendix and ureters was stuck together.

With laparoscopy, that is, closed surgery technique, called hydrosalpenx; We cleaned the fluid in the tubes, removed the endometriosis cyst in the right ovary, performed a magnificent surgery and preserved the uterus & ovaries of our patient and left them immaculate.

We performed the operation of our patient with the closed surgical technique; We collected all the fibroids that settled in her uterus, we cleaned the endometriosis foci and adhesions in her ovaries, we released her tubes and intestinal involvement, we left a clean uterus and 2 ovaries to our patient.

We performed deep endometriosis surgery with the closed surgical technique. For our patient, preoperatively; Although it was quite difficult due to the stress and pain factor, the aftermath went very well. Together we watched the surgery video, which is the ritual of our clinic, which is the most enjoyable and most interesting part because it makes us very happy to show my patients what we did during their surgery, to let them see what we saved them from, so they say goodbye to us with a reborn feeling, painless, bleeding and relaxed.

Dear Ceyda lady applied to us from England. First of all, since our patient lives in England and can come to our country for a limited time, we examined all her examinations via whatsapp, we made a one-to-one phone call with her and listened to all her complaints. We made our diagnosis and made our surgical planning. We performed robotic surgery on our patient with Da Vinci, using the extraordinary technology offered by the robot, we removed many fibroids, removed chocolate cysts, performed deep endometriosis surgery, opened all adhesions, freed her ovaries, and corrected the uterine septum, that is, the veil in the uterus, with hysteroscopy just before the surgery ended. She is very well now, as long as our patients are well, we are better.

With laparoscopic surgery, we opened all adhesions extending to the back of the uterus and intestines, removed the foci of adenomyosis one by one, cleaned all the fibroids that settled in the uterus, freed their ovaries, they were also in a disastrous condition and we had struggled a lot to bring them back to normal. We dressed her stitches, and we bid farewell to our patient, who had regained her health, from our clinic, wishing her luck in 2022.

Our young patient, precious Irmak; She applied to our clinic from Croatia. For about 3 years, she had many tests, various hormone treatments were given to her due to her deep chocolate cyst disease, she applied to many doctors because of his persistent pain, but unfortunately he could not get results, on the contrary, the side effects of these treatments caused her to experience more difficult processes. We performed deep endometriosis surgery on our patient with the closed surgical technique, we eliminated all the problems that cause pain without overlooking even the smallest details, we eliminated the deep foci that spread to the urinary tract and intestine one by one. Our patient is very, very well.

Sometimes more words are not needed! My dear patient wrote down her heart for us.

"Hello I'm Burcu

To briefly describe our path that crossed with my doctor Fatih, our adventure started with a cyst definition two years ago. I applied to many different physicians in Aydın. The pain that did not go away began to affect my daily life. I learned much later that it was endometriosis, not a cyst. A lot of medication, antibiotics and more... Then a doctor said, "You should go to Fatih Şendağ". I had open surgery before, I thought everything was over with the diagnosis of endometriosis, but it had just begun. I came to my doctor Fatih, he explained me in such a positive, comforting and explanatory way that I understood the process in the first examination. I was going to have closed surgery, but my fear was too much due to previous experiences. But I got through this very easily. It's not like I was afraid. My doctor, nurses, everyone was very helpful. I am writing from my control one week after the operation, neither pain nor pain, thankfully, nothing is left. The reason I ran away from the doctors I went to first was fear and pain, it is very important to be able to trust, I trust Fatih Şendağ with my eyes closed and I thank his team and him for everything.

Burcu Korkmaz"

Don't look at her standing so calm next to me, she came to our clinic with an incredible panic last week, when I saw her so stressed and upset, I quickly took an ultrasound and did her examination. During the examination, we noticed chocolate cysts covering the right and left ovaries, deep endometriosis foci covering the rectum and located in the rectovaginal area, and the adhesions caused by these. Of course, all of these impaired our patient's quality of life, caused severe pain and most importantly made my patient feel psychologically helpless. We cleaned all the masses one by one with the laparoscopic method, removed the cysts, freed the ovaries from deep endometriosis foci, opened the adhesions, in short, we accomplished a lot. Ms. Suzan is doing wonderfully well now. Enjoyable, healthy, happy...

We performed the operation of dear Gülistan last week. Again, we successfully completed the surgery of a deep chocolate cyst, which is not easy at all, closed with the laparoscopic method.

If you ask my patient yes, she is extremely well, healthy and of course I am very happy that she got rid of his endometriosis, which causes the sticking of all the uterus and ovaries to each other, with closed surgery, and I am very happy because we protected her ovaries.

INFORMATION FORM

M.G

Endometriozisle yaşamak çok zordu sadece onu yaşayan bilir. Benim Fatih Hocama ulaşmam büyük bir şans olarak görüyorum. Fatih Hocama ulaşan kadar çok hastane ve doktor gezdim. Artık ilaç tedavileri yeterli geliyordu ve ağrılarım acılarım dayanılmazdı. Hayattan zevk alamaz hale gelmiştim. Doktorumun tavsiyesiyle buldum Fatih hocamı. Daha kapıdan girer girmez iyi olacağıma dair bir inanç geldi. Ve düşündüğüm, hissettiğim gibide oldu. Herşey çok güzel ilerledi. Fatih Hocam bunun, bu hastalığın çözülebileceğini söyledi. Benimki derin yerleşimli endometrioziste ve tek seçeneğim cerrahiydi. Tam da istediğim gibi doğurganlığım korunarak kapalı cerrahiyle oldum ameliyatımı. Daha önce açık ameliyat geçirdiğim için biliyordum toparlanma süreci zorluyor. Ama bu sefer süreç çok kolay ilerledi ve 1 haftada toparlandım. Bence benim Fatih Hocama gelmem bütün acılarımın son bulmasıymış. Ona kocaman bir teşekkür borçluyum.

 

 

Aycan Aydoğan

Yıllardır kist yüzünden çok büyük sıkıntılar yaşadım. 3. ameliyatımı Fatih hoca yaptı ve gerçekten artık kendimi çok iyi hissediyorum. Günlük hayatıma çok kısa zamanda sorunsuz olarak devam ettim. Zaten en başından verdiği güven sayesinde 3. kere ameliyat olmayı kabul ettim. Kendisine çok teşekkür ediyorum. İyiki tanıştık.

Sevda Kaymaz 

Ben Sevda Kaymaz. 27/06/2023 tarihinde miyom ve kist ameliyatı oldum. Toplamda 10 tane miyom, çikolata kisti ve dermoit kisti alındı. 6.5 saat sürdü. Çok başarılı geçti ameliyatım. 1 gün hastanede yattım. İlk çıktığımda ağrılarım vardı fakat sonra ilaçların etkisiyle azaldı. Hemşirelerin ilgisi çok iyiydi. Zaten Fatih hocama da güvenim sonsuzdu. Şuan 1 hafta geçti. Daha 3. Günümde normale dönmeye başladım. Yarın da aracımı kullanıp işe bile gidebilirim. Toparlanma iyileşme sürecim çok hızlı oldu. Fatih hocama ve ekibine, sekreteri Selda hanıma ve Kent Hastanesi hemşirelerine çok teşekkür ederim. Bunu okuyan tüm hastalara da geçmiş olsun dileklerimi sunuyorum.

Zehra Akbulut 

Fatih bey ile tanışmamız ilk endometriozis ameliyatım sonrası şikayetlerimin tekrarlaması ile başladı. Kendisinin ilminden emin olmakla beraber, ilerlemiş hastalığım dolayısıyla 1 yıl içinde 2. Ameliyatımı olacak olmak sebebi ile çok tedirgindim. Kendisinin teşhisi ve yönlendirmesi ile 1 hafta içinde planlayıp ameliyatımı yaptı. Eğer bu 2. Ameliyatım olmasaydı bu kadar emin yazamazdım fakat böyle konforlu bir iyileşme sürecini asla beklemiyordum. Daha spesifik örneklerle açıklamak isterim. Laparoskopi delikleri bile daha küçük. Ameliyat sonrası 2. Gün ağrı kesici almayı bıraktım. 4. Gün karayolu ile tatile çıktım. Hareketlerimde bir kısıtlama bile olmadı. Ameliyatla ilgili en büyük 2 korkum diren kullanımı ve gaz sancısıydı. Kendisi diren kullanmıyor. Omuza vuran gaz sancısı da çekmedim. Bu süreci tatilimden yalnız 4 gün kaybederek atlatmış olmanın şaşkınlığı ve sevinci ile hastalıktan kurtulmuş olmanın şükrü ve Fatih bey ile süreci yönetmiş olmanın güzelliği ile tamamladım. Kendisi gibi ehil insanların artmasını temenni ederim. 

Elif Turan Küçükbursa

Rutin yaptırmam gereken yıllık muayenemi yaptırdığımda büyük boyutlarda endometriozis tespit edilmesi üzerine iyi bir hekim arayışına girdim ve başka üç hekime muayene olduktan sonra Fatih Şendağ Hocama ulaştım. İlk muayenesinden itibaren bana güven verdi. Hastalığın ne şekilde ilerleyeceğini, alternatif yolları ve benim için en iyi tedavi yöntemini net bir şekilde anlattı. Benim için netlik ve ihtimalsiz çözüm yolu önemliydi. Fatih Hocam bu konuda gerçekten bana güven verdi. Endometriozis ameliyatı konusunda hiç tereddüt yaşamadım. Ameliyat öncesi ve sonrası gayet konforlu geçti. Fatih Hocama güvendim, her zaman ilgili ve güler yüzlü Selda Hanım’a ve kliniğe teşekkür ederim :)

Serpil Işık Yıldırım

Ben bir hemşireyim. 2017 yılından bu yana çikolata kistleri ile uğraşıyorum. Ameliyat için çok korkuyordum. Daha önce 1 kez ameliyat olmuştum. İki sezeryan doğumum vardı. Bütün gittiğim doktorlar yapışıklığın fazla biz burda yapamayız dediler. Balıkesir şehir hastanesinde  gittiğim kadın doğum Dr. Erol  ÖZDAŞ doktor Fatih Beyi tavsiye etti. Bende araştırarak en iyisinin bu olduğuna karar verip Dr. Fatih Beye ameliyat olmaya karar verdim. İyiki Fatih beye ameliyat olmuşum. Ameliyat ve sonrası çok güzeldi. Çok teşekkür ederim.