The Center for Endometriosis Care | Kenny R. Sinervo, MD, FRCSC, LLC is proud to be a COEMIG-Designated Center of Excellence in Minimally Invasive Gynecologic Surgery. AAGL Center of Excellence in Minimally Invasive Gynecology™, COEMIG™ and the COEMIG seal are trademarks of the AAGL. All rights reserved.
Thank you for visiting our site! Please be sure to check out all of our articles, and let us know what else you’d like to see. This site is intended to serve as an aid to patients, professionals, media, researchers, advocates, legislators/policy-makers, lay visitors and all those seeking authoritative endometriosis education and care, along with awareness endeavors, research details and community resources. By serving our collaborative mission, we believe together we can unlock the mysteries of this painful and confusing illness which affects so many women and girls – and rare males, too! – worldwide. Herein you can find ongoing information related to research, advocacy, surgical fellowships and training, industry partnerships, information and advice, and much more to benefit all those who treat, write about, study – and most importantly, live with endometriosis. Those seeking care at our Center should get started here with our Frequently Asked Questions.
Endometriosis is a troubling, debilitating illness affecting an estimated 176 million women and girls (and even rare males) globally (WERF). The disease is responsible for causing pain ranging from mild to crippling; loss of countless missed work and school hours; infertility/pregnancy loss; bowel and/or bladder pain; sexual pain/dysfunction and various other physical, emotional, financial and intangible consequences. Visit our comprehensive fact sheet on endometriosis here to learn more.
But…endometriosis does not have to be hopeless! At the CEC, Dr. Albee and Dr. Sinervo believe quality excision surgery is the cornerstone of any effective therapy and can offer long-term relief and restoration of fertility in many affected individuals. To “excise” implies total dissection and removal – cutting out the entire lesion, down to clean margins – not just the surface, as is often done in other methods like laser vaporization. Endometriosis of the bowel, bladder and beyond can be safely and completely removed through excision, as can dense adhesions and fibrotic/deeply infiltrating peritoneal disease. Lung, diaphragmatic and other extrapelvic disease can also be safely and completely treated in this manner. All tissue is sent to the pathology lab for examination with excision; you have the security of knowing exactly what was found and removed. Excision differs fundamentally from less meticulous surgical techniques such as vaporization, electrocautery/fulguration and coagulation; all of which destroy surface tissue only – making microscopic evaluation impossible, and which do not remove disease completely. Thus, recurrence of endometriosis is high.
Excision, on the other hand, has very low recurrence rates; data has shown historically that if truly removed, likelihood of disease ‘coming back’ is much lower. Excision also permits removal of all endometriosis while preserving a woman or girl’s organs where and whenever possible. It is important to understand that excision is a method, not a tool – it can be performed by any surgical means during laparoscopy. “Cold” excision, laser excision, excision via da Vinci® or by any other means can all achieve the intended goal of removing all disease from all areas. What is not important is how – only that it is excised. If a surgeon cannot excise, however, they cannot excise using any tool.
Historically, excision has always been the gold standard of surgical treatment for this disease, but unfortunately is only practiced by a small number of global surgeons who have dedicated their life’s work to successful and advanced treatment of the disease. Surgical excision is the cornerstone of effective therapy for endometriosis; through quality surgery, disease truly can be removed and debulked – allowing the patient’s own lifestyle interventions (e.g. physical therapy, diet/nutrition, exercise, acupuncture, etc.) to be most effective and ensure maximum outcome.
Our COEMIG-designated Center of Excellence has been successfully helping thousands of patients of all ages, from every corner of the world, to regain their quality of life for nearly two and a half decades. Among the first in the country to offer women and girls access to a dedicated excision center for the surgical treatment of endometriosis, the CEC believes in completely and meticulously removing all disease, from all areas. We believe in treating endometriosis – not removing organs – as our preferred approach, and have successfully helped more than 4,500 women and girls from 43 countries to date through more than 8,000 total procedures. Patients come to us from all walks of life and present with all stages of disease, ranging from mild to the most severe, complex and advanced forms of endometriosis. Our overall recurrence rates following excision in our patient follow-up are less than 10%, with many patients more than 20 years out from their surgery.
Our surgeons are leading pioneers in Minimally Invasive Gynecologic Surgery (MIGS) and have created a legacy in the gold standard care of endometriosis using Advanced Laparoscopic Laser Excision, or “LAPEX.” If you are interested in becoming a patient of Dr. Sinervo’s (Dr. Albee is not accepting new surgical cases), please click here to visit our main site, where you can register and learn more about our free records review.
In the interim, please avail yourself of the information and updates we have provided herein. We want to help you live well – in spite of endometriosis – and we’re glad you’re here. Please get started by reading more: Frequently Asked QuestionsThe CEC Team
Ken R. Sinervo, MD, MSc, FRCSC, ACGE, Medical Director
Robert B. Albee, Jr. MD, FACOG, ACGE, Founder
Wendy Winer, RN, BSN, CNOR, RNFA
Heather Guidone, CWC, Surgical Program Director