[Surgical treatment of endometriosis]

The surgical treatment of endometriosis, which used to be performed by laparotomy, is now in most cases performed by coelioscopy. The purpose of surgery is to destroy or remove as much as possible of the endometriotic lesions and to treat their sequelae, usually adhesions. In the majority of patients, the coelioscopic treatment can be carried out at the same as the initial diagnostic coelioscopy, the stay in hospital not exceeding 48 hours. The pregnancy rate obtained is similar to that reported with laparotomy, but the operator must have a long experience of operative coelioscopy.