title: Laparoscopic management of moderate: Severe endometriosis.
abstract: OBJECTIVE
  To assess the feasibility of laparoscopic surgery in cases of moderate-severe endometriosis.
  
  
  METHODS
  A prospective study was carried out in a tertiary centre over a period of 2 years. Moderate to severe endometriosis was defined by revised American fertility society (rAFS) classification (41 patients). Various procedures were done to provide symptomatic relief. Feasibility of laparoscopic surgery and various patient parameters were analysed.
  
  
  RESULTS
  Various procedures like adhesiolysis in POD, excision of endometriomas, resection of endometriotic nodules in the recto-vaginal septum, ureterolysis and total laparoscopic hysterectomy with/ without oophorectomy were done. Majority of patients underwent cystectomy for endometriomas (53.6%) or adhesiolysis with excision of endometriotic nodule (36.5%). Total laparoscopic hysterectomy with or without ooperectomy was done in 31.7% patients. Of the total 9 patients with primary infertility and moderate-severe endometriosis, 5 patients (55.5%) conceived after surgery.
  
  
  CONCLUSIONS
  There is good evidence that in experienced hands laparoscopic surgery helps in long-term symptomatic relief, improves pregnancy rates and reduces recurrence of disease with largely avoiding complications.
authors: Department of Gynaecological Endoscopy, Bhatia Hospital, Mumbai, India.
authors: Pranay R
authors: PR
authors: Shah
authors: Department of Gynaecological Endoscopy, Bhatia Hospital, Mumbai, India.
authors: Anu
authors: A
authors: Adlakha
keywords: Endometriosis; feasibility; laparoscopic excision