A UNIQUE experience

CO2 laser endometriosis surgery: Unique expertise in France

The CO2 laser is recognized in the scientific literature as a major advance, a veritable treasure in the gynaecological surgeon 's arsenal. Its use in the treatment ofendometriosis represents a revolution, offering a more precise and less invasive alternative to conventional techniques.

The CEC: a unique reference center in France

The CEC (Centre Expert en Chirurgie) is a benchmark facility for laparoscopic surgery assisted by CO2 laser to treat the most complex forms of endometriosis. Thanks to this cutting-edge technology, it is possible to the best possible preservation of the reproductive organs while ensuring targeted eradication of lesions.

Cutting-edge technology used worldwide

Deployed in specialized centers in the United States, Switzerland, Belgium and Italy, the CO2 laser is widely recognized for its exceptional surgical precision. Its use reduces tissue trauma and optimizes the preservation of essential anatomical structures, a major asset for women wishing to preserve their fertility.

Controlled risk thanks to surgical expertise

All surgical procedures entail risks, including damage to the ovaries and adjacent organs. However, these risks are closely linked to the experience and skill of the surgeon. The expertise of CEC practitioners, combined with the use of the CO2 laser, contributes to a significant reduction in complications and quality patient care.

The advantages of the CO2 laser in the treatment of endometriosis

Greater precision: enables fine, targeted dissection of endometriotic lesions.
Less risk of bleeding: thanks to optimized cauterization, limiting bleeding.
Optimal recovery: hospitalization time for patients undergoing surgery for deep rectal endometriosis is reduced to 1 to 2 days on average at the CEC.
Organ preservation: minimizes impact on surrounding structures and helps maintain reproductive functions.

Internationally recognized expertise

Every year, patients from all over the world come to the CEC to benefit from specialized, modern and innovative care. Thanks to a personalized approach and the latest technological advances, this reference center stands out for its excellence in endometriosis surgery.

If you're looking for an effective, less invasive solution to endometriosis, CO2 laser surgery at the CEC is the ideal option, combining surgical expertise and state-of-the-art technology.

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Presentations at international conferences

We were present at the ESGE scientific congress.

Professor DONNEZ presented the results of his latest studies.

Exchanges and discussions with all specialists are important for the CEC. Our priority is to play a part in the advances designed to help improve the quality of life of women with the disease.

ESGE link

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Speakers for the regional industry and the French Ministry of Education

Participants in training courses for doctors and nurses in Vaucluse schools

Training in the diagnosis, management and referral of young girls with suspected endometriosis for national education teams.

The CEC is involved in training school doctors and nurses throughout the Vaucluse département. In conjunction with the ENDOSUD PACA regional network, the aim is to improve diagnosis of the pathology from the earliest age, ensure appropriate care and avoid therapeutic wandering, which can have a major impact.

Front-line care is essential, and we support projects that aim to raise awareness and train professionals who, in turn, will be able to raise awareness among all school staff, respond appropriately and initiate the first diagnostic steps.

CEC has already given presentations to high school students and teachers. This has generated numerous exchanges and enabled us to adapt the information to the expectations of young people, who are often directly or indirectly confronted with the pathology.

Because any initiative dedicated to improving the care pathway and, where appropriate, the speed of treatment for patients suffering from complex forms of the disease, whose impact is sometimes irreversible in adulthood, deserves to be supported, we are responding.

Nearly 80 professionals attended the event.

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At the heart of international teams

Treatment of Caesarean scar dehiscence

The CEC has recognized expertise in the treatment of Caesarean scar dehiscence. This little-known and poorly-defined iatrogenic pathology has recently been the subject of a consensus among experts, leading to recognition of this disorder, which has a considerable impact on the quality of life of post-Caesarean women.

The achievement of a consensus is an important first step towards the recognition of Caesarean section-related disorders, and will enable the various centers to speak the same language with a view to developing knowledge of this pathology.

https://pubmed.ncbi.nlm.nih.gov/36988956/

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At the heart of scientific advances

"In 2019 and 2020, the CEC was the first center to be able to offer a GnRH antagonist, linzagolix, in clinical trials published in 2021 and 2022. This molecule has significantly reduced adenomyosis symptoms and uterine volume. We are proud today to present our post-treatment experience in order to consider further clinical trials."

link to scientific publication

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Committed to care pathway coordination

For women's health

The CEC is involved in coordinating the endometriosis care pathway.

Amandine Poudou, midwife coordinator of the CEC, has just published a manuscript describing the midwife's role in screening consultations, coordination within referral centers andresearch activities.

article published in November 2023

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Actor at scientific conferences

presence at scientific congresses, a source of exchange and discussion, is important for the CEC

The annual ESGE (European Society for Gynecological Endoscopy) congress was held from October¹ to 4. Professor Donnez was invited to present the results of his experience in the surgical treatment of rectal endometriosis over 4cm (classification # Enzian A3 C3) on a series of over 700 cases.

Surgery on this type of lesion is often associated with severe complications, with some authors recommending rectal resection of lesions larger than 3cm. CO2 laser shaving ensures excision of these lesions with a low complication rate, notably rectovaginal fistula, while maintaining a low recurrence rate.

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Pioneers in the laparoscopic treatment of caesarean scars

Caesarean section scar surgery

Since 2008 and its first publication on the laparoscopic treatment of Caesarean scar dehiscence, the CEC has continued its research into the diagnostic and surgical management of cases where uterine reconstruction is required.

We are pleased to present our latest manuscript containing all the latest data from the scientific literature, published in Best Practice and Research Clinical Obstetrics and Gynaecology.

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The CEC is part of the organization of the graded, structured and accessible care offer.

In order toimprove management of patients suffering from complex endometriosis (digestive, urinary, ovarian), and to respond to the pertinent questions raised by medical healthcare professionals, the CEC now offers the possibility of seeking specialist advice via remote image review.

This has the advantage of targeting patients in need of rapid care. For the CEC, it is important to reduce the time it takes to treat patients with endometriosis requiring a multidisciplinary care pathway.

The ROFIM platform, already used by the CEC for multidisciplinary consultation meetings (Réunions de Concertation Pluridisciplinaire - RCP), has been chosen by the Center to support tele-expertise.

The quick, intuitive procedure is described in the tab request for specialized image proofreading

Article published in Décideur Hospitalier magazine

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Together in the fight against endometriosis

The CEC is actively involved in training healthcare professionals in conjunction with the MANOLETA patient association. Scientific presentation on endometriosis and its management

September 16, 2023 at the polyclinique URBAIN V in Avignon, France

More than 20 professionals were present, and were able to actively discuss the pathology and the dedicated care pathway.

NEVER GIVE UP!

https://www.endometriosevaucluse.fr/evenements

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