Dr Jasdev Singh
Open Endometriosis Surgery
Severe or deep endometriosis sometimes needs open surgery, to remove disease and scarring that cannot be treated safely through keyhole cuts.
Open Gynaecological Surgery
Treating severe endometriosis when keyhole surgery is not enough
Most endometriosis is treated by laparoscopy. Open surgery, through a cut in the lower tummy, may be needed for very severe disease, dense scarring, large endometriomas or disease involving the bowel or bladder. It may also be combined with a hysterectomy.
Severe endometriosis can have a big impact on daily life. Careful planning before surgery matters.
Dr Jasdev works with other specialists, such as bowel or urology surgeons, when the disease involves nearby organs.
Careful assessment before surgery
Scans, symptoms and past operations are reviewed, so surgery is only suggested when it is likely to help.
Fertility kept in mind
If you hope to conceive in future, surgery is planned to protect your womb, tubes and ovaries as far as possible.
Clear recovery guidance
You will know what recovery involves, when to return to normal activities and when your review is due.
What this surgery gives you
- Removal of extensive disease and scarring
- Joint planning with other surgeons when needed
- Attention to your fertility or menopause plans
How your care is planned
Each stage is explained so you know why surgery is being considered, what it involves and how recovery will go. You can take time to decide.
Map the disease with MRI or a detailed ultrasound
Plan surgery with the wider team if needed
Support recovery and ongoing symptom control
How the surgery works
Under general anaesthetic, the pelvis is opened through a lower tummy cut. Endometriosis and scar tissue are removed, organs are freed and cysts are treated. If the bowel or bladder is involved, another surgeon may join the operation. Hormone treatment may follow to lower the chance of the disease returning.
Who may benefit
Women with severe or deep endometriosis, previous unsuccessful surgery, or disease affecting other organs, where a keyhole approach is not safe or suitable. It may also be considered when symptoms continue despite earlier keyhole surgery.
What to expect
You will usually stay in hospital for three to five nights. Recovery takes around six to eight weeks. You will have regular reviews to monitor your symptoms and adjust treatment.
How Dr Jasdev works with you
He combines surgical and fertility experience, and he explains each option plainly, including when surgery may not be needed. Plans follow current evidence and your hopes for the future. You will have time to ask questions before anything is decided. Women see him from Kuala Lumpur and across Malaysia, and some travel from neighbouring countries.
What to bring to your appointment
These records help Dr Jasdev plan surgery safely and answer your questions fully. If you cannot find everything, bring what you have.
- MRI and scan reports
- Notes from previous operations
- A record of your symptoms and treatments
What women often ask
Surgery brings natural worries about safety, recovery and fertility. These common questions can help you prepare.
Why do I need open surgery?
Will other surgeons be involved?
Will it affect my fertility?
Can endometriosis come back?
Your questions about open endometriosis surgery
What is open endometriosis surgery?
It is surgery through a cut in the lower tummy to remove severe or deep endometriosis and scar tissue.
Who is it suitable for?
Women with severe disease, especially involving other organs, where keyhole surgery is not suitable.
What tests are needed first?
An MRI or detailed ultrasound, blood tests, and sometimes bowel or bladder tests.
Is it painful or risky?
Pain after surgery is managed with medicine. Risks include bleeding, infection, blood clots and injury to the bowel, bladder or ureters. These are discussed in full beforehand.
Why see Dr Jasdev for this surgery?
He plans complex surgery carefully, involves other specialists when needed, and keeps your fertility and quality of life in mind.
How do I book?
Call or WhatsApp the clinic, and bring your scan and surgery reports.
This page is general information and does not replace a consultation. Whether surgery suits you, and its risks, recovery and alternatives, should be discussed with Dr Jasdev based on your own history.
Get a plan for severe endometriosis
Book a consultation to discuss your options.