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Understanding the complexities of excision surgery and its role in managing endometriosis is crucial for patients. Our expert guest, Dr. Lora Liu, shares her wealth of experience in this field, offering insights about what to expect from the surgery and recovery process.
• Discussion on the effectiveness of excision surgery for pain relief
• Importance of preparation and prehab, including physical therapy
• Distinction between recurrence of endometriosis and symptoms
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Introduction to Quick Connect
Speaker 1
0:00
Life
moves
fast
and
so
should
the
answers
to
your
biggest
questions
.
Welcome
to
EndoBattery's
Quick
Connect
,
your
direct
line
to
expert
insights
Short
,
powerful
and
right
to
the
point
.
You
send
in
the
questions
,
I
bring
in
the
experts
and
in
just
five
minutes
you
get
the
knowledge
you
need
.
No
long
episodes
,
no
extra
time
needed
,
and
just
remember
expert
opinions
shared
here
are
for
general
information
and
not
for
personalized
medical
advice
.
Always
consult
your
provider
for
your
case-specific
guidance
.
Got
a
question
?
Send
it
in
and
let's
quickly
get
you
the
answers
.
I'm
your
host
,
alana
,
and
it's
time
to
connect
.
Today
I'm
joined
by
expert
excision
specialist
,
dr
Laura
Laura
Liu
,
who
focuses
on
endometriosis
excision
.
She
dedicates
her
career
to
helping
those
with
endometriosis
by
empowering
them
,
validating
them
and
helping
them
heal
.
She's
here
to
cut
through
the
noise
and
give
you
the
straightforward
answers
you
need
.
So
let's
dive
in
.
How
effective
is
excision
surgery
in
reducing
pain
and
preventing
reoccurrence
?
Speaker 2
1:09
So
in
treating
pain
.
I
can't
answer
that
I
don't
know
,
because
everybody's
process
is
different
.
There's
some
patients
and
I'd
say
this
to
all
my
patients
you
know
I
have
no
idea
how
much
your
pain
will
improve
after
surgery
.
It
can
be
30%
improvement
,
it
can
be
50%
improvement
,
it
can
be
100%
improvement
.
I
don't
have
a
crystal
ball
,
I
can't
predict
that
.
My
hope
is
that
it's
100%
improvement
.
As
you
mentioned
before
a
lot
of
times
,
the
surgery
does
help
but
it
can't
get
rid
of
all
of
the
pain
because
the
body's
been
traumatized
for
years
and
decades
and
just
a
four-hour
surgery
can't
undo
all
of
that
.
So
I
do
think
that
it
can
be
highly
effective
in
some
patients
For
pain
relief
.
I
think
it
can
be
if
and
I
tell
my
patients
if
your
symptoms
are
coming
from
endometriosis
,
by
removing
the
endometriosis
you
can
expect
improvement
in
the
symptoms
.
But
I
don't
know
if
you
can
get
resolution
like
a
complete
resolution
For
recurrence
of
endometriosis
.
I
think
the
literature
is
in
the
hands
of
an
experienced
excision
surgeon
.
It's
about
20
to
30%
.
Speaker 1
2:16
And
there's
a
difference
between
reoccurrence
and
persistence
.
That's
another
thing
,
you
have
to
look
at
.
Speaker 2
2:21
And
there's
also
a
difference
between
recurrence
of
disease
,
which
is
less
than
20
to
30
percent
,
and
recurrence
of
symptoms
,
Because
there
are
times
where
patients
will
have
recurrent
symptoms
but
they
don't
have
recurrent
disease
.
And
you
know
this
because
you
do
another
surgery
,
you
go
in
and
you
still
remove
specimens
and
they
all
come
back
negative
for
endometriosis
.
So
so
you
know
it
was
a
recurrence
of
disease
,
it
was
recurrence
of
symptoms
.
Speaker 1
2:47
Right
.
How
should
people
prepare
for
excision
surgery
?
I
had
someone
say
I'm
getting
ready
for
my
excision
surgery
.
Are
there
things
I
should
do
to
prepare
for
my
excision
surgery
,
whether
that's
diet
,
medication
,
lifestyle
changes
,
what
have
you
seen
?
Your
patients
benefit
the
most
from
doing
pre-excision
surgery
.
Speaker 2
3:04
Yeah
,
no
,
if
we
have
time
,
I
always
like
my
patients
to
get
in
to
see
a
pelvic
floor
physical
therapist
for
some
prehab
before
surgery
,
because
I
feel
like
it
does
help
with
the
recovery
afterwards
and
also
then
they
have
a
relationship
with
the
PT
and
they
can
continue
the
work
after
surgery
,
which
I
think
is
it's
just
,
it's
really
nice
.
I
mean
,
I
like
them
to
do
that
kind
of
like
a
prehab
.
So
lifestyle
,
I
think
,
dietary
modifications
you
know
I
I'm
not
a
nutritionist
,
I'm
not
a
dietitian
.
I
don't
give
out
like
,
oh
,
go
on
the
anti-inflammatory
diet
for
six
months
before
surgery
.
Some
surgeons
do
recommend
that
and
they
make
it
mandatory
.
Speaker 2
3:40
I
don't
,
I'm
not
that
militant
when
it
comes
to
that
.
I
do
try
to
tell
my
patients
look
,
try
to
get
in
the
best
shape
as
you
can
,
whether
it
be
by
let's
not
go
out
and
eat
fast
food
three
times
a
week
every
day
before
surgery
.
Let's
try
to
incorporate
some
whole
foods
,
some
you
know
some
some
nutrition
,
because
your
body
is
going
to
need
to
repair
itself
after
surgery
and
the
way
that
it
repairs
itself
is
through
nutrition
and
you
know
what
you
put
in
it's
fuel
,
it's
building
blocks
for
your
recovery
.
So
I
do
like
that
as
well
as
like
a
prehab
,
like
I
said
,
with
pelvic
floor
physical
therapy
.
Speaker 1
4:19
That's
a
wrap
for
this
Quick
Connect
.
I
hope
today's
insights
helped
you
move
forward
with
more
clarity
and
confidence
.
Do
you
have
more
questions
?
Keep
them
coming
,
send
them
in
and
I'll
bring
you
the
expert
answers
.
You
can
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by
using
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link
in
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or
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endobatterycom
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.
Until
next
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,
keep
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empowered
through
knowledge
.