How to cure adhesion in endometriosis?

Treatment: Peritoneal adhesions often accompany endometriosis, although not always. When adhesions are seen at laparoscopy they are treated by dissecting from normal surfaces and sometimes with removal. Not to be picky, but i describe this as 'treatment' rather than 'cure' because chance of recurrance is not insignificant. There are no non-surgical treatments for adhesive disease.

Difficult: Significant adhesions are actually not as common as one might realize. Our experience is about 30%. There are several liquid agents used at surgery but none have real proven benefit. We use "ovarian suspension" as a mechanism for getting the ovary and tube out of the raw area of dissection. We also employ uterine suspension, an old technique, when we do stage 4 cases with significant colon dz.