Transvaginal hydrolaparoscopy: practices in French teaching hospitals

Emile Daraï, Émile Daraï, Roman Rouzier, Marcos Ballester
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 OBJECTIVE: To examine transvaginal hydrolaparoscopy (THL) practices in French tertiary care centers. DESIGN: Prospective longitudinal study (Canadian Task Force classification III). SETTING: University hospital in France. PARTICIPANTS: Gynecology and obstetrics departments of all 48 French teaching hospitals. INTERVENTIONS: Practice of THL using a 8-item questionnaire. MEASUREMENTS AND MAIN RESULTS: Main 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. CONCLUSION: Few 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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MeSH descriptors

Hysterosalpingography Laparoscopy Data Collection Diffusion of Innovation Female France Hospitals, University Humans Hysterosalpingography Hysterosalpingography Laparoscopy Laparoscopy Ovary Ovary Prospective Studies

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