Adhesiolysis, followed by Excision and Ablation of Endometriomas and Deep Infiltrating Endometriosis

Francisco Carmona, MD

The procedure described above is another technique how to surgically treat endometriosis. It is a reproducible procedure with a fast learning curve (6 weeks), making it a wide spread technique for all gynecologists who are specialized in endometriosis. Since the laser penetrates just micrometers in the tissue, we use the laser when the risk of injury on nearby structures is high. Having the opportunity to use the fiber (and its handpiece) simplifies the procedure since it’s easier to imagine the direction of the laser compared to the free beam and the fiber produces less smoke. Finally, using the laser for treating endometriosis opens a new field characterized by easily reproducible techniques, and good clinical outcomes.