What can we expect from the surgical management of endometriosis?

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This review evaluates modern minimally invasive endoscopic surgery with lasers for treating endometriosis, noting that while effective and safe in experienced hands, its superiority over traditional methods requires confirmation through controlled clinical trials.

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Abstract

In endometriosis, radical surgery to remove both ovaries appears to be the only truly lasting cure. However, to retain or improve fertility potential, conservative surgery to remove all visible endometriotic deposits is often employed. Traditional conservative surgery using laparotomy is time-consuming and involves large, painful, slow-healing incisions, but, it is argued, modern developments in minimally invasive endoscopic surgery using advanced laparoscopy with lasers offer significantly reduced operation time, discomfort and convalescence. These surgical advances are reviewed. Although their effectiveness remains to be confirmed in controlled clinical trials, they appear to produce good results and are safe in experienced hands.

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Condition tags

dysmenorrheaendometriosis

MeSH descriptors

Endometriosis Laser Therapy Ovariectomy Peritoneal Neoplasms Denervation Denervation Dysmenorrhea Dysmenorrhea Endometriosis Female Humans Infertility, Female Infertility, Female Infertility, Female Laparoscopy Laparoscopy Laser Therapy Ovarian Neoplasms Ovarian Neoplasms Peritoneal Neoplasms

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Source provenance

europepmc
last seen: 2026-09-15T06:16:59.523076+00:00
pubmed
last seen: 2026-05-13T22:12:05.481982+00:00
License: public-domain-us · commercial use OK · attribution required
Courtesy of the U.S. National Library of Medicine