Recurrent pain after hysterectomy and bilateral salpingo-oophorectomy for endometriosis: evaluation of laparoscopic excision of residual endometriosis

Endometriosis can represent with a variety of symptoms including pelvic pai n, dyspareunia and pain with defaecation, up to several years after hystere ctomy and bilateral salpingo-oophorectomy. This may occur when all endometr iotic tissue is not excised at the time of the initial procedure. Although excision of endometriosis at this time would be preferable, we have found l aparoscopic excision of residual endometriosis to be effective in relieving endometriosis associated pain.