Diagnostic Gynecologic Laparoscopy —Analysis of 1226 cases—

R Punnonen
Asia-Oceania journal of obstetrics and gynaecology · 1983 · vol. 9(2) , pp. 199–202 · doi:10.1111/j.1447-0756.1983.tb00622.x · PMID:6225413 · W2086965902
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⚙ AI-generated summary by claude@2026-06, 2026-06-10 ⓘ

This retrospective analysis of 1226 diagnostic gynecologic laparoscopies performed between 1971–1980 identified endometriosis, adhesions, and pelvic varicosis as common findings in patients with chronic pelvic pain and infertility.

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Abstract

Abstract During the period 1971–1980 a total of 1226 diagnostic laparoscopies were performed at the Department of Obstetrics and Gynecology of Turku University Central Hospital. In 591 patients the indication for laparoscopy was chronic pelvic pain. The most common pathology in these patients was endometriosis (36 per cent). Adhesions and pelvic varicosis were the next most common findings. In 197 patients (33 per cent) no pathology was found in laparoscopic examination. Endometriosis and adhesions were also the most common finding in the 288 infertile patients; 43 per cent of the 55 infertile patients with a normal HSG showed pathology in laparoscopy. Laparoscopy is also an important tool in the decision for or against tuboplasty. Suspected ectopic pregnancy was the indication for 182 patients. In 73 of the patients (40 per cent) the finding was a tubal pregnancy and in three cases an ovarian pregnancy was found. Other indications for diagnostic laparoscopy had been for example primary and secondary amenorrhoea, hirsutism and anomalies in the genital tract. Often laparoscopy can be both diagnostic and therapeutic.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Laparoscopy Adolescent Adult Endometriosis Endometriosis Female Humans Infertility, Female Infertility, Female Pain Pain Pelvic Neoplasms Pelvic Neoplasms

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