Laparoscopic excision of endometriosis

Dr Wetherell has a special interest in endometriosis and laparoscopic management of complex cases. She is a Level 6 laparoscopic surgeon – the highest level attainable in Australia, and the world. She is an endometriosis specialist surgeon who dedicates the utmost attention to detail and meticulous surgical technique to all stages of surgical complexity. She ensures everything is done to achieve the best surgical results as possible, translating to optimal symptomatic relief and improved quality of life. After surgery, she ensures ongoing medical and multi-disciplinary management to ensure that improvement in symptoms is ongoing and life-long.

Stage 4 endometriosis with bilateral endometriomas - before surgery

Stage 4 endometriosis after excision

ICG ureter

ICG ureterolysis

Endometriosis of all stages needs to be excised as is gold standard in today’s modern surgical management of endometriosis. Ablation is no longer commonly practiced, and Dr Wetherell certainly only excises endometriosis, unless not surgically able to, which is an uncommon occurrence. With careful dissection of key structures, often the ureter and bowel, endometriosis is able to be excised in it’s entirety safely and accurately.

Use of ICG “green dye” for ureters

Dr Wetherell employs all of the latest technologies, including a recent advent that allows the ureters to safely be visualised throughout the entire surgical case. This is done via cystoscopy and temporary insertion of ureteric catheters to allow injection of indocyanine (ICG) dye “green dye” that makes the ureters glow fluorescent green, when using a specific camera and light lead. She uses these for difficult cases during which it would be pertinent to visualise the ureter to avoid injury. This also allows minimal dissection and tissue handling, without compromising safety. Dr Wetherell would utilise this in cases where the ureter would be difficult to visualise, such as Stage 4 endometriosis, broad ligament or cervical fibroids for myomectomy, or large multifibroid uteri for laparoscopic hysterectomy.

 

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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Bowel endometriosis

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Dr Lima Wetherell - pic

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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.