Conservative Robotic Excision Surgery for Complex Endometriosis: Service Expands
Nov 7, 2026
Lotus Endometriosis Institute has expanded its conservative robotic excision surgery for complex endometriosis, giving patients a precise, organ-sparing treatment that removes diseased tissue while safeguarding fertility and surrounding pelvic structures.
Arroyo Grande, United States, November 7, 2026 /PressCable/ -- Lotus Endometriosis Institute has broadened access to robot-assisted conservative excision for women facing advanced endometriosis, pairing the DaVinci platform with root-level lesion removal that keeps healthy organs intact whenever safely possible.
More information about the surgical service is available at https://lotusendo.com/services/surgery-and-advanced-excision
The announcement comes as research published in Fertility & Reproduction found that robot-assisted ovarian cystectomy for endometriomas may better preserve ovarian reserve in the short term than conventional laparoscopic surgery. Lotus Endometriosis Institute is building on this fertility-protective potential for patients who still hope to conceive after surgery.
"Ablation burns visible lesions and can leave deeper disease behind," explains a spokesperson for Lotus Endometriosis Institute. "Robotic excision instead cuts endometriosis out with cold scissors, using spot cautery to control bleeding and is associated with lower recurrence and better fertility outcomes."
Every procedure is performed robotically, regardless of expected complexity, as the institute notes that imaging cannot reliably predict how deep the disease extends. The system combines 3-D optics that restore depth perception lost in standard laparoscopy, up to tenfold magnification, wristed instruments for scarred or tight areas, and Firefly dye imaging that highlights blood supply to confirm organ safety.
The procedures are led by Dr. Steven Vasilev, a quadruple board-certified gynecologic oncologist with more than 30 years of surgical experience, including bowel, bladder, and ureter procedures. This training supports advanced cases and repeat surgeries, including a scarred or frozen pelvis. Across more than 1,100 tracked major cases, none involved a planned open laparotomy, and the average recurrence at five years has been about 5%.
Care follows the institute’s Integrative Endometriosis Surgery™ model, which combines excision with board-certified integrative medicine addressing inflammation, nutrition, sleep, and recovery, from preoperative planning through healing.
Most procedures use three or four 8mm incisions. Patients generally go home the same day or the next day, walk comfortably within a week, return to work in two to three weeks, and resume full activity within about a month.
Treatment is available at the institute’s Santa Monica and Arroyo Grande offices in California, where the practice also sees patients who travel from other states for evaluation and surgery.
Patients considering surgery can schedule a consultation to review their history, imaging, and goals by visiting https://lotusendo.com/services/surgery-and-advanced-excision or calling (424) 255-1340.
Contact Info:
Name: Dr. Steven Vasilev
Email: Send Email
Organization: Lotus Endometriosis Institute
Address: 154 Traffic Way, Arroyo Grande, CA 93420, United States
Website: https://lotusendo.com
Source: PressCable
Release ID: 89208854
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