Correlation of laparoscopic appearance and histologic aspects of endometriosis

The author shows the importance of the correlation between laparoscopic aspects and histologic findings in peritoneal endometriosis. Another important aspect discussed is the approach in deep infiltrative endometriosis. The protocol in deep infiltrative endometriosis includes a precise diagnosis (pelvic exam, CA 125 measurement, echography, rectosigmoidoscopy and sometimes cystoscopy). After a precise diagnosis the appropriate treatment is given. Laparoscopic excision of endometriosis is the gold standard treatment. The lesions of the bowel and bladder must also be excised. Finally the author discusses the main topics regarding ovarian endometriosis.