Surgical management of endometriosis - excision rather than burning (diathermy) treatment

Most women with severe stage endometriosis are in agony and report to be at the end of their tether.
The commonest sites of endometriosis are the ovaries, Fallopian tubes, peritoneum (skin that covers the pelvis), vagina, bladder, ureters, bowel and rectum. Because of the possibility of involving different organs, surgery for endometriosis may be complex and challenging even for a very experienced surgeon. Most recent evidence advocates excision (i.e., removal) of the endometriosis, especially in advanced stages, rather then diathermy (i.e., burning) of the lesions as the latter surgical approach is more likely to cause recurrence and worsening of the disease. Ultimately the treatment of severe endometriosis is pelvic clearance which entails hysterectomy and salpingo-oophorectomy (removal of the womb, tubes and ovaries) but the following factors have to be borne in mind when advising women regarding radical surgery: chronological age and fertility preservation (plans to conceive). Since endometriosis is often diagnosed in women between 25-40 years of age, conservative surgical management involving the removal of the endometriotic lesions only is recommended.