Surgery remains the best treatment for deep endometriosis. The surgical technique is essential to adequately manage the disease; however, the technique is rarely taught and reported in detail. Laparoscopic cystectomy for the treatment of ovarian endometrioma has been classically reported as a simple stripping technique; however, a meticulous technique appears to be necessary to adequately manage ovarian endometriomas, based on the natural history of the cyst. This paper reports in detail our current technique for laparoscopic cystectomy for ovarian endometrioma and all the tricks to permit reproduction, and even improvement of the technique by other surgeons.
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