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What bowel endometriosis techniques are used, and what risks?

Topic:Deep Disease
Affected areas:bowelpelvicabdominal

For bowel endometriosis, surgical options are tailored to how deep the disease goes and how much of the bowel wall is involved. Depending on the nodule’s size and location, we may use superficial shaving, a full-thickness discoid excision, or a segmental bowel resection to remove disease while protecting bowel function.


Each approach has a different risk profile, which we review with you during pre-op planning so you understand why a specific technique is recommended. Potential complications can include a bowel leak, fistula, temporary ostomy, nerve-related changes, and altered bowel habits during recovery. Our goal is to balance thorough disease removal with safety and long-term function, and we’ll walk you through what to expect before and after surgery during a consultation with our team.

An illustration of 3 silhouetted women each showing discomfort in areas of the pelvis.

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Dr. Steven Vasilev delivers best-in-class endometriosis guidance and a personalized treatment plan—built on evidence and your unique biology.


Led by Steven Vasilev, MD—an internationally recognized endometriosis specialist & MIGS surgeon—Lotus Endometriosis Institute is virtual-forward, with many patients traveling nationally for care. Clinical evaluation and surgical treatment are provided in California.

Santa Monica, CA

2121 Santa Monica Blvd, Santa Monica, CA 90404

Operating Hours

8:00 am - 5:00 pm
Monday - Friday

Arroyo Grande, CA

154 Traffic Way, Arroyo Grande, CA 93420