ABSTRACT
Management of endometriosis has always been based on symptomatic relief.1,2 Despite the fact that the disease seems to be endemic and that voluminous research has been performed in order to find a non-invasive cure, management remains centered around the use of surgical extirpation with medical placation.3 Although extensive efforts have been made in attempts at improving fecundity rates, results remain marginal.4,5 Neither medical therapy nor surgery alone or in combination produces significant improvement in pregnancy rates. However, for relief of pain both medical and surgical therapies have been employed with success although cure rates are not available. For invasive rectovaginal disease and large endometriomas, surgical therapy appears to be the only solution as medical therapy has demonstrated no efficacy in these areas.6,7
Surgical therapy revolves around three basic techniques:
1. Vaporization-laser, electrosurgical 2. Coagulation/ablation-laser, electrosurgical 3. Excision-laser, electrosurgery, scissors, harmonic scalpel.
