[Mini-invasive treatment by cases of moderate and severe pelvic endometriosis].

OBJECTIVE: The purpose is to investigate the characteristics of the performed mini-invasive surgical treatment by patients with III-IV stage of pelvic endometriosis and to establish the advantages of this surgical approach, such as the concomitant complications. MATERIAL AND METHODS: 90 patients, who underwent operation, with histologically proved endometriosis were studied for a period of 2 years: 60 of them with moderate and 14--with severe endometriosos, determinated by the revised ASRM classification. RESULTS AND DISCUSSION: The most commonly done laparoscopic operation is the cystectomy--totally 57 (77%) for the whole group, followed by the cystadnexectomy--11 cases (14.9%). By 4 of the cases (5.5%) there was a conversion into laparotomy and by 2 of the cases (2.7%) mini-invasive surgical procedures were accomplished. CONCLUSION: Mini-invasive approach by patients with pelvic endometriosis offers several options: to stage the condition, to diagnose the tubal sterility and to perform surgical treatment. In this study we establish the structure of the accomplished operations, noting the low count of complications and conversions, such as the short operative time and recovery days.