Review| Volume 18, ISSUE 5, P126-133, May 2008

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      Endometriosis is a very complex gynaecological condition characterized by ectopic endometrial tissue outside the uterine cavity. It mainly affects women of childbearing age, and is frequently associated with incapacitating pain. Careful assessment of symptoms, together with diagnostic laparoscopy, enables an accurate diagnosis. Successful management requires a significant amount of experience of treatment of this condition and advanced laparoscopic surgery i.e. endometriosis should be managed by a gynaecologist with the necessary expertise of this condition and in reproductive surgery. Several management options are available, and the choice of treatment should be tailored to individual circumstances. A successful outcome can be achieved by proper patient selection, and careful assessment of symptoms and disease extent.


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      Further reading

        • Alborzi S.
        • Momtahan M.
        • Parsanezhad M.E.
        • Dehbashi S.
        • Zolghadri J.
        A prospective, randomised study comparing laparoscopic ovarian cystectomy versus fenestration and coagulation in patients with endometriomas.
        Fertil Steril. 2004; 82: 1633-1637
        • Beretta P.
        • Franchi M.
        • Ghezzi F.
        • Busacca M.
        • Zupi E.
        • Bolis P.
        Randomized clinical trial of two laparoscopic treatments of endometriomas: cystectomy versus drainage and coagulation.
        Fertil Steril. 1998; 70: 1176-1180
        • Gordts S.
        • Campo R.
        • Brosens I.
        • Puttemans P.
        Endometriosis: modern surgical management to improve fertility.
        Best Pract Res Clin Obstet Gynaecol. 2003; 17: 275-287
        • Hart R.J.
        • Hickey M.
        • Maouris P.
        • Buckett W.
        • Garry R.
        Excisional surgery versus ablative surgery for ovarian endometriomata.
        Cochrane Database Syst Rev. 2005; (CD004992)
        • Hughes E.G.
        • Fedorkow D.M.
        • Collins J.A.
        A quantitative overview of controlled trials in endometriosis-associated infertility.
        Fertil Steril. 1993; 59: 963-970
        • Jacobson T.Z.
        • Barlow D.H.
        • Koninckx P.R.
        • Olive D.
        • Farquhar C.
        Laparoscopic surgery for subfertility associated with endometriosis.
        Cochrane Database Syst Rev. 2002; (CD001398)
        • Lessey B.A.
        Medical management of endometriosis and infertility.
        Fertil Steril. 2000; 73: 1089-1096
        • Marcoux S.
        • Maheux R.
        • Berube S.
        Laparoscopic surgery in infertile women with minimal or mild endometriosis. Canadian Collaborative Group on Endometriosis.
        N Engl J Med. 1997; 24: 217-222
        • Parazzini F.
        Ablation of lesions or no treatment in minimal-mild endometriosis in infertile women: a randomized trial. Gruppo Italiano per lo Studio dell’Endometriosi.
        Hum Reprod. 1999; 14: 1332-1334
        • Vercellini P.
        • Somigliana E.
        • Vigano P.
        • Abbiati A.
        • Daaguati R.
        • Corsignani G.
        Endometriosis: current and future medical therapies.
        Best Pract Res Clin Obstet Gynaecol. 2008; 22: 275-306