Page 12.  White scarred areas are easier to see when the intraluminal areas of the glands contain debris from bleeding. These areas are brown or black.  The biopsy shows the glands deep in the fibrotic scar. When hemosiderin and debris are contained within them, this may be seen on the surface.

Page 13.  This white scar involves the left uterosacral. The black particles on the surface are carbon from previous laser vaporization.  The biopsy shows sparse stroma and glands surrounded by fibrous tissue and muscle. Trichrome stain was used to demonstrate the fibrous component of the fibromuscular matrix. 

Page 14.  When white scarred areas are associated with red polyps, the red polyps are most commonly endometriosis.  The biopsy shows polypoid endometriosis associated with deeper glands and stroma in the white fibrotic scar. The red polyps are endometrial glands and stroma. 

Page 15.  A small developing pocket is in the right lower cul-de-sac. In the rim, immediately above and to the left of the pocket is a small white area that is seen by direct visualization, by magnified video on monitors or by magnified photography. Panoramic monitors and photography can easily miss these.  The biopsy shows that the white area is a small area of endometriosis and there is stroma at the other margin of the pocket. Secretion into this type glandular structure is a common feature. 

Page 16.  Clear polyps and vesicles may be endometriosis or other pathology. These lesions are noted lateral to the right tube.  The biopsy shows a dilated vesicle with scant stroma and little vascularization. Other patients have edematous endometriosis presenting as clear polypoid lesions.

Page 17.  The angle of light inflection was important in noting these clear and white lesions. Although lesions were initially seen at only 3 or 4 locations, when the angle of the view changed, more lesions were seen. The biopsy shows that some clear vesicle were dilated glands within fibrosis while other sections in the same patient show both glands and stroma.