Bowel endometriosis

Bowel endometriosis is a special subset of Stage IV endometriosis. Sometimes women complain of severe bowel pain, and pain on opening their bowels during their period. When this is investigated with a specialised endometriosis ultrasound, what we call an endometriotic bowel nodule can be found. This is when the endometriosis is closely related to or grows into the bowel, often the lower portion which is called the rectum. In this instance Dr Wetherell uses a multi-disciplinary approach and works with her trusted Colorectal Surgeon, operating together as a team to excise the bowel endometriosis.

Stage 4 endometriosis with complete obliteration of POD

Ureteric dissection

Bowel shave of rectal endometriosis

Management of bowel endometriosis is complex and can only be performed by an accredited Level 6 AGES qualified surgeon, which Dr Wetherell is, one of a handful in Melbourne. This involves either a “bowel shave” during which the endometriotic lesion is dissected off of the surface of the rectum. Deeper lesions require a bowel resection, which involves removing a small portion of the affected bowel, either via a disc resection or bowel resection. All of this will be discussed in detail during a consultation with Dr Wetherell and her trusted Colorectal Surgeon colleague (Mr Eric Daniel), and is very specific to each individual woman and case. A lot of time, planning, and care is taken for complex surgical cases of this kind, and you can expect the utmost attention to detail and highly specialised care. Dr Wetherell has a special interest in bowel endometriosis and is passionate about providing high quality surgical expertise to women affected by this condition.

DR. LIMA WETHERELL

Understanding your health:
Surgeries explained

Hysteroscopic surgery

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Laparoscopic myomectomy (with in bag morcellation)

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In bag morcellation

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Total laparoscopic hysterectomy

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Laparoscopic excision of endometriosis

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PERSONAL VALUES

Integrity

“Evidence-based medicine guides every decision I make, ensuring my patients receive the most current, effective, and ethical treatments available"

Expertise

"As a high-volume advanced laparoscopic surgeon, I bring precision, experience, and a commitment to excellence in minimally invasive pelvic surgery"

Comfort

“My consulting suite at Epworth Freemasons offers a modern, luxurious, and welcoming environment for patients to feel relaxed and supported”

Respect

“With a warm bedside manner and meticulous attention to detail, I strive to create a safe, respectful space for women seeking expert gynaecological care”

Compassion

"Kindness and compassion are the cornerstones of my practice, where every patient receives thoughtful, evidence-based care tailored to their individual needs"
Dr Lima Wetherell - pic

INTRODUCING DR. LIMA WETHERELL

MBBS BBiomedSci FRANZCOG MRMed AGES Fellowship

Dr Lima Wetherell is a highly trained Melbourne based Gynaecologist and Advanced Laparoscopic Surgeon. She has completed an additional two years of training in advanced laparoscopic surgery via the highly regarded national AGES (Australasian Gynaecological Endoscopy and Surgery) Fellowship program at Monash Health. This is a high case load National formal training program in advanced pelvic surgery that focuses on laparoscopic management of endometriosis, fibroids, hysterectomy and other complex cases referred to a tertiary referral network. She is a specialist minimally invasive surgeon with her main areas of interest being laparoscopic surgical management of endometriosis, fibroids, heavy menstrual bleeding requiring hysterectomy and fertility surgery. She performs complex pelvic surgery with a high level of attention to detail. Lima prides herself on having an understanding and caring bedside manner, with a patient centred approach being the focus of her consultations. Each appointment is tailored to the specific needs of the patient with a focus on multidisciplinary management.

Lima grew up in the South Eastern suburbs of Melbourne, graduating from medical school at the University of Melbourne in 2012. After this, she completed her specialist training as an Obstetrician and Gynaecologist obtaining her FRANZCOG at the Royal Women’s Hospital in 2021. She then pursued further training by completing her AGES Fellowship at Monash Health and consolidating her skills in minimally invasive surgery. She has also completed her Masters of Reproductive Medicine from the University of New South Wales. Throughout this time Lima has been involved in research and clinical studies and is the principal author on a number of published studies.

Lima currently holds a public appointment at Monash Health, with both clinics and theatre lists across all four campuses, working in the Endosurgical Department. In her spare time Lima likes to spend time with her two beautiful children and husband, who is also a surgeon.