Laparoscopy - Endometriosis

Symptoms

A 35 year old woman presented with a history of worsening pelvic pain. This was almost constant but was at its worst during menstruation. The pain was also severe during intercourse.

Diagnosis

She had undergone laparoscopy with excision of endometriosis several years prior and she had successfully conceived her first child three months post operatively. She was now planning a second pregnancy.

Procedure

She underwent a laparoscopy with excision of endometriosis.

Outcome

This is known to have a positive impact on pain and fertility.

Laparoscopic view of the Pouch of Douglas (the area behind the uterus). There is evidence of recurrent endometriosis.

Endometriosis over the right side wall and right utero-sacral ligament is excised.

Endometriosis over the left side wall is excised. The left ureter has been dissected out.

The pelvis at the completion of the laparoscopy demonstrating normal and mobile ovaries and patent tubes. All endometriosis has been excised.