VALIDATION OF ULTRASOUND-BASED ENDOMETRIOSIS STAGING SYSTEM FOR PREDICTING LEVEL OF COMPLEXITY OF LAPARSCOPIC SURGERY

Endometriosis is a complex clinical syndrome characterized by an estrogen-dependent chronic inflammatory process that affects primarily pelvic tissues, including the ovaries. It has a prevalence of 6%–10%, with peak age between 25 years and 35 years.There are three types of endometriosis; ovarian endometrioma, deep infiltrating endometriosis (DIE), and superficial peritoneal endometriosis (SPE).Ultrasound-Based Endometriosis Staging System (UBESS) is a five-domain ultrasound-based technique that asses for the presence of all endometriosis phenotypes in a systematic manner. RCOG recommends on the stratification of complexity of laparoscopic proceduresto three levels of training: level 1, level 2 and level 3.AIM OF THE WORKThe aim of this study was to assess the efficacy of a preoperative ultrasound-based endometriosis staging system (UBESS) in prediction of the level of complexity of laparoscopic surgery for endometriosis.SUBJECTS AND METHODSThis study was conducted on 50 women of reproductive age who were recruited from the gynecology outpatient clinic inShatby university hospital and who were assessed pre- operative by TVUS for endometriosis staging and then correlation with laparoscopic findings was done.All patients were subjected to complete history taking, complete general and pelvic examination and also Women were examined by TVUS using IDEA approach to be categorized according to UBESS and then they were blindly set for laparoscopic surgery for diagnosis and to determine complexity of surgery. Correlation between UBESS and laparoscopic findings was done to assess the efficacy of pre-operative UBESS in predicting the level of complexity of laparoscopic surgery for endometriosis.