{"paper_id":"969cbd87-4af4-4ed9-8db3-09467a97b7ba","body_text":"Diagnostic and therapeutic laparoscopy in the management of endometriosis\nDOI:\nhttps://doi.org/10.18203/2320-1770.ijrcog20184532Keywords:\nDiagnostic laparoscopy, Dysmenorrhea, Endometriosis, Infertility, Ovarian cystectomyAbstract\nBackground: Endometriosis associated with a variety of symptoms, primarily produces dysmenorrhea and infertility. Three classes of techniques have been used to diagnose women with endometriosis beside the history and the clinical picture: biochemical markers, radiological imaging and laparoscopic examination of peritoneal cavity.\nMethods: All 52 patients were evaluated clinically, biochemically, and radiologically and laparascopically to find out the abnormalities.\nResults: Most common complaint in a patient with endometriosis is dysmenorrhea affecting 67.6% population in this study group. 20% patients presented with infertility. Diagnostic laparoscopy of the patients in the study group show ovarian endometrioma in 67.3% population. Stage II endometriosis was seen in maximum number of cases in the study group comprising 46.2% patients. Ovarian cystectomy was the most common therapeutic procedure done in 51.9% of patients, out of which 40.4% cases treated with unilateral cystectomy and rest by bilateral cystectomy.\nConclusions: This study concludes that endometriosis predominantly affects the women of reproductive age group and causes dysmenorrhea and infertility in majority of the patients. A laparoscopic finding marks as a standard tool in diagnosis and treatment of endometriosis.\nMetrics\nReferences\nAndrew S. Cook. Pathophysiology of endometriosis-associated infertility. Clin Obstet Gynecol. 2017;42(3):586-610.\nHealey M, Ang WC and Cheng C. Surgical treatment of endometriosis: a prospective randomized double blinded trial comparing excision and ablation. Fertil Steril. 2010;94(7):2536-40.\nHart RJ, Hickey M, Maouris P and Buckett W. Excisional surgery versus ablative surgery for ovarian endometriomata. Cochrane Database Syst Rev 2008(2).\nRajeswari M, Ramanidevi T, Kadalmani B. Cohort study of endometriosis in south Indian district. Int J Reprod Contracept Obstet Gynecol. 2016;5(11):3883-8.\nSahu L, Tempe A. Laparoscopic management of endometriosis in infertile women and outcome. Int J Reprod Contracept Obstet Gynecol. 2016;2(2):177-81.\nArumugam K, Lim JM. Menstrual characteristics associated with endometriosis. BJOG: An International Journal of Obstetrics and Gynaecology. 1997 Aug;104(8):948-50.\nGiudice LC. Clinical practice. Endometriosis. N Engl J Med. 2010;362(25):2389-98.\nMishra VV, Gaddagi RA, Aggarwal R, Choudhary S, Sharma U, Patel U. Prevalence; characteristics and management of endometriosis amongst infertile women: a one-year retrospective study. J Clinic Diagnos Res: JCDR. 2015;9(6):QC01.\nKoninckx PR, Meuleman C, Demeyere S, Lesaffre E, Cornillie FJ. Suggestive evidence that pelvic endometriosis is a progressive disease, whereas deeply infiltrating endometriosis is associated with pelvic pain. Fertil Steril. 1991;55(4):759-65.\nMatalliotakis IM, Goumenou AG, Matalliotakis M, Arici A. Uterine anomalies in women with endometriosis. J Endomet. 2010;2(4):213-7.\nDavil GW, Estape R. Gynecologic laparoscopy surgical oncology. Clinic North Am. 2001;10(3):557-70.","source_license":"CC0","license_restricted":false}