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Endometriosis View 2
Photograph of endometriotic lesions along the peritoneum (next to the uterus) that contain the “classic” brown powder burn marks (older burned out endometriosis) and the more active “red flame” lesions (active endometriosis). When removing these lesions one often finds that the depth of penetration varies and after “unroofing” a brown lesion there is underlying “chocolate syrup” like liquid (old blood that has turned brown and thick over time) that is expressed. The deepest area of penetration of the endometriosis should be ablated (removed) if possible to maximize the postoperative benefit of surgery.
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