Endometriosis, an underdiagnosed and undertreated condition, affects 1 in 10 women and is associated with pain and infertility. Preoperative evaluation should include testing and management of other causes of pelvic pain. Ultrasonography can aid in surgical planning. Hormonal suppression improves symptoms, but should not be used to diagnose endometriosis, and is not shown to be effective in preventing disease recurrence nor in improving fertility. The goal of surgical management should be optimal removal or treatment of disease and should include measures for adhesion prevention. Rates of recurrence of endometriosis depend on the surgical completeness of removing the disease.
Yeung PP Jr (2014). The laparoscopic management of endometriosis in patients with pelvic pain. *Obstetrics and gynecology clinics of North America*, *41*(3), 371-383. https://doi.org/10.1016/j.ogc.2014.05.002
Yeung PP Jr. The laparoscopic management of endometriosis in patients with pelvic pain. Obstet Gynecol Clin North Am. 2014;41(3):371-383. doi:10.1016/j.ogc.2014.05.002
Yeung PP Jr. "The laparoscopic management of endometriosis in patients with pelvic pain." *Obstetrics and gynecology clinics of North America*, vol. 41, no. 3, 2014, pp. 371-383.
Yeung PP Jr et al., 2009Journal of Minimally Invasive Gynecology
STUDY Objective: To provide a comprehensive review of the best evidence available in the laparoscopic management of endometriosis for pain and/or fertility and to provide practical recommendations bas...
Endometriosis > Excision Surgery > TechniqueEndometriosis > Excision Surgery > OutcomesSurgery > Excision > Endometriosis
Wu Q et al., 2023
Open Access
Reproductive Biology and Endocrinology : RB&E
Objective: This study aimed to explore the optimal time of laparoscopic cystectomy for unilateral ovarian endometrioma patients and evaluate the influence on ovarian reserve.
Materials and Methods: Th...
Endometriosis > Excision Surgery > TechniqueSurgery > Excision > EndometriosisReproductive Endocrinology > AMH > Clinical Use
Yeung PP Jr et al., 2016
Open Access
Frontiers in Public Health
Objective: The purpose of this study was to examine if deep retraction pockets (DRPs) in the posterior cul-de-sac and uterosacral ligaments could be a manifestation of endometriosis and if excision of...
Endometriosis > Excision Surgery > TechniqueEndometriosis > Excision Surgery > OutcomesEndometriosis > Diagnosis > Laparoscopy
Background: A somewhat pessimistic view on the prevention of postsurgical adhesions has developed over the years because rigorous surgical approaches may still result in the formation of postsurgical ...
Surgery > Adhesion Prevention > TechniqueSurgery > Excision > EndometriosisEndometriosis > Excision Surgery > Technique