Surgery is one of the cornerstones of the treatment of endometriosis, especially in women with deep infiltrating forms of the disease. The surgical procedure depends on the location and extent of the endometriotic lesions, as well as the skills, experience and expertise of the surgeon. Despite advances of the radiologic imaging techniques for Deep Infiltrating Endometriosis (DIE), that enable a mapping of the disease and a preoperative surgical planning, the confirmation of the lesions occurs during the surgical procedure and the surgical strategy is defined intraoperatively, right after the visualization of the endometriotic lesions. Therefore, every surgery is different even if the lesions are apparently similar in the preoperative work-up. As a result, evaluating the effectiveness and possible adverse effects of the surgery is almost impossible, because there is no way to compare one intervention with another standard procedure. One way to ensure the quality control of the surgery would be recording the complete surgical procedure for further evaluation. Video recording the Laparoscopic Surgery for the Treatment of Endometriosis should be Systematic! William Kondo and Monica Tessmann Zomer.
Last date updated on July, 2014