Dr. Cook’s EVE Procedure™

The EVE Procedure™ is an acronym for Excisional Vaporization of Endometriosis, a comprehensive process that effectively removes endometriosis from anywhere in the body. The EVE Procedure utilizes wide excision of endometriosis. In the majority of cases, excision alone is used to remove the disease. In select cases, however, area vaporization can be used as a precise secondary tool in critical areas where very precise removal of tissue from vital structures is required to preserve fertility and minimize complications.

Dr. Cook and Dr. Castillo performing laparoscopic surgery

Area vaporization can be used as a precise secondary tool in critical areas where very precise removal of tissue from vital structures is required to preserve fertility and minimize complications.

The EVE Procedure offers a comprehensive surgical approach that effectively treats endometriosis and its associated pain with a very low recurrence rate. The successful surgical removal of endometriosis involves several key steps: preparation for laparoscopy, accurate diagnosis of endometriosis, and the complete surgical removal of all endometriosis from the body.

My personal approach is to solely use excision in >95% of cases, with area vaporization an excellent technique in a few select situations to preserve fertility and minimize complications. In these instances I feel that the combination of wide excision and area vaporization is better than any other procedure, including excision alone, for the complete removal of endometriosis, while minimizing the need for removing normal, healthy tissue. With the precision of the EVE Procedure, I am able to preserve healthy organs such as the ureter, bowel, ovary and fallopian tube – when the use of excision alone would potentially necessitate removal of all or part of these organs or at best risk compromising their function.

The EVE Procedure offers the gentlest, most effective and versatile technique for removing endometriosis from the body, with minimal damage to normal surrounding tissue.Dr. Cook

The specific situations in which area vaporization may be chosen over excision vary among surgeons, based on skill level, surgical technique and clinical experience. We urge all of the endometriosis community, both physicians and patients, to remember that we are all trying to do the best job possible. As long as we maintain respect for each other, some variation in opinion is a healthy thing, especially in an area of medicine that has so many unknowns.