Abstract
The Cochrane database was searched for systematic reviews about endometriosis. The ESHRE guidelines were also included. A search of the British Journal of Obstetrics and Gynaecology “BJOG”, and the Journal of Minimal Invasive Gynaecology “JMIG” individual database for articles about surgical management of endometriosis was done.
Highlights
Endometriosis is a very common gynaecological condition associated with chronic pelvic pain and a negative impact on fertility
Minimally invasive surgical techniques have a well-established role in the diagnosis and treatment of pain related and infertility related endometriosis
Diagnostic laparoscopy for endometriosis should be done with histology for the lesions to confirm the diagnosis and to exclude the rare possibility of malignancy [12]
Summary
Endometriosis is a very common gynaecological condition associated with chronic pelvic pain and a negative impact on fertility. Endometriosis is characterised by the presence of tissue similar in structure and function to endometrium but present outside the uterus, most commonly in the pelvic cavity. The lesions are mainly scattered and implanted into the visceral peritoneal surfaces in the pelvis. The presence of these lesions causes chronic pelvic pain, painful periods, painful sexual intercourse and infertility [1]. Less commonly endometriosis may be present in the pleural cavity causing cyclical haemoptysis [4]
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