Peritoneal pockets in women with endometriosis

This surgical video documents the presence of peritoneal pockets in a series of patients undergoing laparoscopic surgery for endometriosis. Peritoneal pockets (abnormalities in the structure of the peritoneum that result in pocket-like formations) are common in women with endometriosis and are frequently associated with endometriotic tissue either within or lining the rim of the pocket. This tissue should also be excised during surgery, just like any other area of the peritoneum involved by disease. Typically, lesions found within peritoneal pockets are superficial but, as can be seen in this video, even deep fibrotic lesions may be found inside.