Bowel Injury From a Laparoscopy for Endometriosis
One potential risk with a laparoscopy for endometriosis is bowel injury. One type of bowel injury is a burn. The other type is a perforation injury (a hole or tear in the intestines), which usually happens when needles or surgical tools are used. While rare, a bowel injury can result in needing antibiotics, a colostomy, or additional surgery.
Bowels are the intestines. They start at the end of the stomach (abdomen) and end at the anus. Bowel pain during laparoscopic surgery for endometriosis only happens in about 3 out of 1,000 surgeries.
If your bowels get hurt during a surgery, it will probably be from one of two things: burns or perforations (small holes or tears) in the intestines.
Having a tear or hole in the bowels usually happens when needles or surgical tools are used. Sometimes, these holes are small and will heal by themselves. Other times, the holes are bigger and need surgery to fix them. If there is a hole in your bowels, you will probably need to stay in the hospital a little longer than normal.
If a perforation is big or if it gets infected, it can cause problems in a special layer of tissue in your abdomen. You will probably need to stay in the hospital and take antibiotics. Some people will need surgery to fix the infection. If part of the bowel is damaged or not working, a section of it may need to be removed.
Sometimes, in rare cases, people will need to have a colostomy. A colostomy is where a hole is made from your intestines to the outside of your body. Over this opening, you will have a special bag that holds anything coming from the bowels. This bag sticks to your skin like a Band-Aid® does, but it is much bigger.
If you have a problem from burns, you will probably just stay in the hospital a little longer. Sometimes, you might need surgery or a colostomy. However, this doesn't happen often.