January 15, 2017 Liza Colimon, MD Endometriosis is a condition that describes the growth of glandular tissue that usually is found inside the uterus, located outside the uterus and within the abdomen such as on the fallopian tubes, ovaries, intestines, bladder, or on the surgery and biopsies. This condition can cause infertility, pelvic pain, severe pain with periods, pain with intercourse, and in extreme cases bladder pain or intestinal pain. In rare instances patients might also present with bleeding from other organ sites during their menstrual cycle. More commonly endometriosis is found on the fallopian tubes, ovaries, and on lining of the abdominal cavity. Excision (removal) of the lesions has been found to decrease pain at 6-12 month intervals. However, even after surgery medical management to suppress ovulation with Birth control pills or Lupron is essential for suppressing endometriosis and controlling pain. A Laparoscopic Excision of Endometriosis is a type of minimally invasive surgery in which small incisions between 0.5 to 1 cm are made on the abdominal wall through which an instrument called a laparoscope can be placed. The abdominal cavity is able to be visualized by distending it with an absorbable gas, typically, carbon dioxide. The laparoscope allows the surgeon to visualize the abdomen and pelvis, uterus and ovaries/tubes. Small instruments can be placed through small incisions allowing the surgeon to remove the endometriosis.