LYCOS RETRIEVER 
Endometriosis: Laparoscopy
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Ablation of endometriotic lesions plus laparoscopic uterine nerve ablation (LUNA) in minimal-moderate disease reduces endometriosis associated pain at 6 months compared to diagnostic laparoscopy; the smallest effect is seen in patients with minimal disease (Jacobson et al., 2001). However, there is no evidence that LUNA is a necessary component (Sutton et al., 2001), and LUNA by itself has no effect on dysmenorrhoea associated with endometriosis (Vercellini et al., 2003a).
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The only sure way to confirm an endometriosis diagnosis is by laparoscopy. The diagnosis is based on the characteristic appearance of the disease, if necessary corroborated by a biopsy. Laparoscopy ... allows for surgical treatment of endometriosis.
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For patients not seeking a pregnancy where treatment specific for the management of endometriosis is required and a definitive diagnosis of endometriosis by laparoscopy has been made, a physician may suggest hormone suppression treatment. Since this therapy shuts off ovulation, women being treated for endometriosis will not get pregnant during such therapy, although some may elect to become pregnant shortly after therapy is stopped.
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Laparoscopy with biopsy is the only definitive way to diagnose endometriosis. It is an invasive procedure with an overall sensitivity of 97% and a specificity of only 77%. Hallmark findings are the classic powder burn, blue-black lesions.
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Laparoscopy