The effectiveness of laparoscopic excision of endometriosis
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Abstract
PURPOSE OF REVIEW: The optimum method for the treatment of endometriosis remains unclear. This review explores recent data concerning the effectiveness of laparoscopic excision and associated therapies, to guide clinicians in their selection of the most appropriate therapeutic regimen. RECENT FINDINGS: Large, long-term, prospective studies and a placebo-controlled, randomized, controlled trial suggest that laparoscopic excision is an effective treatment approach for patients with all stages of endometriosis. The result of such laparoscopic excision may be improved if affected bowel, bladder and other involved structures are also excised. Adjuvant therapies such as the levonorgestrel intrauterine system and pre-sacral neurectomy may further improve outcomes. Ovarian endometrioma are invaginations of the uterine cortex, and surgical stripping of this cortex removes many primordial follicles. Despite this apparent disadvantage, stripping of the capsule is associated with better subsequent pregnancy rates and lower recurrence rates than the more conservative approach of thermal ablation to the superficial cortex. SUMMARY: Laparoscopic excision is currently the 'gold standard' approach for the management of endometriosis, and results may be improved with careful use of appropriate techniques and suitable adjuvant therapies.
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- Advances in the diagnosis and management of endometriosis: A comprehensive review 2025
- Superficial Peritoneal Endometriosis Vaporization Using a CO2 Laser: a long-term single-center experience. 2024
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- Advances in the Diagnosis and Management of Endometriosis: A Comprehensive Review 2024
- Additional file 1 of Factors associated with recurrent endometriomas after surgical excision 2023
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- Human genetics and assisted reproduction in endometriosis 2023
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- Chronic Pelvic Puzzle: Navigating Deep Endometriosis with Renal Complications 2023
- Use of Oxidized Regenerated Cellulose (ORC) in treatment of ovarian endometriomas to prevent recurrence and preserve ovarian reserve 2023
- Bilateral ureteral Deep infiltrating endometriosis: a rare case 2022
- Significance of Ki67 expression in endometriosis for infertility 2022
- Healthcare Providers’ Impact on the Care Experiences of Patients with Endometriosis: The Value of Trust 2022
- When and how should peritoneal endometriosis be operated on in order to improve fertility rates and symptoms? The experience and outcomes of nearly 100 cases 2021
- Advanced Laparoscopic Gynaecological Procedures 2021
- Ovarian reserve and recurrence 1 year post-operatively after using haemostatic sealant and bipolar diathermy for haemostasis during laparoscopic ovarian cystectomy 2021
- Gut Microbiota Exceeds Cervical Microbiota for Early Diagnosis of Endometriosis 2021
- Improvement in quality of life and pain scores after laparoscopic management of deep endometriosis: a retrospective cohort study 2020
- Effect of Retaining the Uterus During Anterior Resection for Rectosigmoid Bowel Endometriosis 2020
- Disease-modifying effects of natural Δ9-tetrahydrocannabinol in endometriosis-associated pain 2020
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- Die medikamentöse Therapie der Patientin mit Endometriose 2017
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- europepmc
- last seen: 2026-06-11T06:19:48.454388+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:12:32.173627+00:00
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