Diagnostic and Operative Transvaginal Hydrolaparoscopy for Infertility and Pelvic Pain
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This study evaluated transvaginal hydrolaparoscopy as a diagnostic and operative tool for infertility and pelvic pain, detailing its application and outcomes.
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Abstract
Study objectiveTo review our experience with diagnostic and operative transvaginal hydrolaparoscopy (THL), a procedure that is less invasive than operative laparoscopy.DesignProspective, observational cohort study (Canadian Task Force classification II-2).SettingPrivate institute and university-affiliated hospital.PatientsTwenty-nine women with infertility and 11 with pelvic pain.InterventionsDiagnostic and operative THL.Measurements and main resultsThirty-five (88%) diagnostic THLs were performed in the office and the other five were done in hospital for insurance reasons; all six operative THLs were performed in the office under conscious sedation. The procedure was conclusive (all organs seen) in 37 patients (93%). Based on THL, no further surgical intervention was recommended in 18 (62%) infertile women and 5 (45%) of those with pain. Further surgical intervention was required in 5 (56%) of 9 infertility patients with a previous normal hysterosalpingogram (HSG) and 6 (32%) of 19 infertility patients with no previous HSG.ConclusionTransvaginal hydrolaparoscopy can be performed in the office with minimal pain, with a conclusive examination anticipated in 93% of cases. The procedure is more accurate than HSG and similar to laparoscopy.
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Cited by (8)
- Transvaginal Hydrolaparoscopy: Practices in French Teaching Hospitals 2008
- Conservative surgical management of endometriosis in women with pelvic pain 2006
- Complex one-stop investigation of infertility: transvaginal hydrolaparoscopy 2006
- The cost of out-patient culdoscopy compared to in-patient laparoscopy in women with infertility 2005
- Progress in transvaginal hydrolaparoscopy 2004
- The use of trans-vaginal laparoscopy in ruling out pelvic malignancy: a case report 2004
- Experience with 109 Cases of Transvaginal Hydrolaparoscopy 2003
- Transvaginal Laparoscopy 2003
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