Electrosurgery (Reproductive Surgery)
Electrosurgery (Reproductive Surgery) uses electrical energy to cut, coagulate, or vaporize tissue during operative procedures. Two configurations are in common use. Monopolar electrosurgery passes current from an active electrode through the body to a distant return pad, concentrating power at the surgical site to enable precise cutting and coagulation. Bipolar electrosurgery confines current flow between two closely spaced electrode tips, limiting the zone of thermal spread and making it the safer choice near delicate structures such as the fallopian tubes, ureter, and bowel.
In NaProTECHNOLOGY laparoscopic surgery, bipolar instruments are generally preferred wherever proximity to these structures demands tighter thermal control. In excision surgery for endometriosis, electrosurgery supports precise cutting and hemostasis. Indiscriminate coagulation of endometriosis lesions by fulguration or ablation without full excision is discouraged: the approach leaves disease in place and risks deeper tissue damage from uncontrolled thermal spread.
This content is for educational purposes only and does not constitute medical advice. Consult an RRM clinician or healthcare provider for guidance specific to your situation.