[Endometriosis: indications, operative techniques, results]

Abstract

Laparoscopic treatment of endometriosis is essential, elegant, efficacious. It is a more complex laparoscopic surgical procedure because of the adnexial lesions, now performed thank's to recent improved instrumentation. At the time of diagnosis, a complete evaluation of lesions appropriately staged according to the American Fertility Society classification scheme is necessary before destruction of endometriotic implants, adhesiolysis and ovarian cystectomy. CO2 videolaseroscopy with laser adhesiolysis and vaporization has been developed with precise destructions of disease tissue and minimal tissue reaction. Laser surgery with complex operative laparoscopy has many advantages: minimal damage of the adjacent normal tissue, minimal ovarian destruction, minimal bleeding and minimal postoperative adhesion formation.