The following quote is by Pr R Garry ( retired ) about H Reich, one of the pioneers of laparoscopic gynaecological surgery.
“ I had considered myself a bit of an expert on treating endometriosis for I had a couple of lasers and I knew that endometriosis was red and black spot lesions that could be vapourised out of existence with my guns. The hard material found alongside the endometriotic spots I knew to be just reactive fibrosis or BURNT-OUT disease. It was difficult to remove and could be safely left behind.
“ This changed the day I saw Dr Reich painstakingly removing all this ‘non-disease’ and placing it in 19 separate pathology pots. When challenged about the need to do this he told me to visit the path lab the next day and I was shown the specimens. Every one contained active glands and stroma and now I knew this was not burnt out endometriosis – this was what endometriosis is. This was a painful realisation for me and sent me on a long and very difficult road of trying to learn the skills to remove this dreadful disease".
"Burnt out " disease was decribed in my medical records as "old endometriosis ". It was left during 3 laparoscopies by 2 surgeons. Pr Garry read the letter about my surgery (which I had a copy of ) and told me this "old" endometriosis was active/aggressive/deeply infiltrating disease. This was proven by the pathology reports. I often wonder about women who would have been told that there is no active disease and how they have got on in the long term. It takes a long time for practice to change"