Transvaginal Hydrolaparoscopy: Practices in French Teaching Hospitals

Émile Daraï, Roman Rouzier, Marcos Ballester
In: Journal of Minimally Invasive Gynecology · 2008 · vol. 15(3) , pp. 273–276 · doi:10.1016/j.jmig.2008.01.002 · PMID:18439496 · W2054259992
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This survey of French teaching hospitals found that THL is infrequently used, with limited operative potential and lack of cost-effectiveness data contributing to its decline.

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Abstract

Study objectiveTo examine transvaginal hydrolaparoscopy (THL) practices in French tertiary care centers.DesignProspective longitudinal study (Canadian Task Force classification III).SettingUniversity hospital in France.ParticipantsGynecology and obstetrics departments of all 48 French teaching hospitals.InterventionsPractice of THL using a 8-item questionnaire.Measurements and main resultsMain outcome measure was practice, indications, and complications of THL in French tertiary care centers. Between October 2005 and March 2006, the departments were sent an 8-item questionnaire on the use of diagnostic and operative THL. In all, 38 (79%) hospitals completed the questionnaire. THL was or is still used in 20 (53%) departments. The main reason given by the 18 departments that never used THL was that it was "less informative than laparoscopy." Only 8 (40%) of 20 departments with experience of THL continued to use the procedure routinely. The main reason given for abandoning THL was its limited operative potential. Among the 8 departments that continued to use THL, 6 used operative THL (mainly for ovarian drilling). Among the 30 departments that answered the item on the likely future place of THL, only 6 (20%) considered that THL would continue to be performed.ConclusionFew French teaching hospitals routinely use THL. Further data on THL, and especially its cost effectiveness, are needed to clarify its place to evaluate female fertility.

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