Dr. Romeo Lucas, Gynecology & Minimal Invasive Surgery, Endometriosis Specialist.
City: Freeport, Maine
Philosophy:
I employ excision to the fullest extent that I am comfortable operatively. I may call for intra-operative consult as needed. I may ask for certain specialists to be present or available if I have high suspicion before surgery. Even if I am unable to excise or there is not a surgeon available to excise, I thoroughly document the lesions (digital pictures) remaining and review with the patient post-operatively. I then provide referral as needed/desired.
Theories of endometriosis origin:
Most likely due to coelomic metaplasia. Certainly, there are cases owing to menstrual regurgitation (i.e. imperforate hymen) or seeding during surgery (i.e. abdominal wall endometriosis after cesarean delivery). However, in such cases it seems possible if not likely that there is an abberrant immunologic process allowing for unaddressed proliferation of that tissue.
Please tell us about your typical diagnosis strategies for a patient who is suspected to have endometriosis (ex: History, P/E, MRI, US, Laparoscopy, etc)
What type of surgery do you perform for endometriosis?:
Excision
I had endometriosis excision surgery with Dr. Lucas in November 2023. My entire experience has been very positive, and his dedication and availability to patients has been exceptional. He is down to earth, yet very passionate about endometriosis.
I had no trouble getting seen within 2 weeks, and my surgery was scheduled to accommodate me (within a month and a half). He personally called me when he scheduled the surgery, and when I had questions about the surgical fee. He has always been available by patient portal messages and responds promptly. He also gives an incredible amount of face-to-face time at each office appointment (ex. 90 minutes at my initial consultation).
I went into surgery assured that he would not leave endometriosis behind if it was within his capabilities to remove it. He also arranged to have general surgery assist with my appendectomy and excision of bowel endometriosis. I was very pleased with the entire surgical experience.
At my follow-up appointment, he went over all surgical photos and pathology report, and answered my list of questions. He also gave me a USB with the photos and reports. He saw me at 2 weeks and 6 weeks post-op and has continued to provide support throughout my recovery. I have never felt alone in my recovery or in my ongoing fight with endo. He is there to help me figure out the next steps and therapies that I may need.
I very highly recommend him to anyone needing endometriosis care. He has changed my life for the better, and I would go as far to say that he saved it.