Clinical characteristics and location of lesions in patients with deep infiltrating endometriosis using the revised Enzian classification.

Objective: To describe the clinical characteristics and location of lesions in patients with deeply infiltrating endometriosis using the revised Enzian (rEnzian) classification.

Material And Methods: The clinical records of 60 patients undergoing laparoscopy for deeply infiltrating endometriosis at Hospital Civil de Culiacán, Sinaloa and Hospital San Javier, Jalisco, Mexico, were reviewed. Age, body mass index (BMI), number of pregnancies, childbearing, previous abortions, laparoscopic suggestion (pelvic pain, bleeding, infertility), and size and location of the lesions were assessed according to the rEnzian classification.

Ten Principles for Safe Surgical Treatment of Ovarian Endometriosis.

Study Objective: To show a step-by-step laparoscopic approach for excision of an ovarian endometrioma following surgical principles for safety and maximal preservation of ovarian function.

Design: Video. Medical management of ovarian endometriomas is not recommended.