ABSTRACT
In the early 1950s endometriosis was considered to be a disease that was curable by conservative excisional surgery at laparotomy.1 Recently, however, the most common treatments chosen have been non-aggressive laparoscopic thermal ablative techniques (such as laser vaporization, electrocoagulation, or endocoagulation), medical suppression, or removal of the reproductive organs with retention of endometriosis. The length and difficulty of endoscopic excisional procedures, inadequate reimbursement, fear of adhesion formation, and the misconception that new disease was a common sequelae to all methods of surgical treatment led many gynecologic surgeons to abandon excision.
