Video-Based Assessment of Operative Complexity in Endometriosis: Associations of AAGL 2021, #Enzian, and rASRM Classifications with Operative Time and Advanced Surgical Procedures

The authors aimed to evaluate how the AAGL 2021, #Enzian, and rASRM classifications correlate with operative time, advanced surgical procedures, and perioperative outcomes in laparoscopic endometriosis surgeries. Their findings indicate that the AAGL 2021 total score is most strongly associated with operative complexity and the likelihood of advanced procedures, while #Enzian offers valuable anatomical insights, and rASRM serves as a recognized global staging system. This suggests a complementary approach in using these classifications for assessing surgical complexity and disease extent.