Laparoscopy: is it replacing clinical acumen?

Obstetrics and gynecology · 1976 · vol. 48(5) , pp. 615–8 · PMID:135938 · W2307723995
article OA: closed CC0 ⤵ 14 in-corpus citations
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AI-generated summary by claude@2026-06, 2026-06-07

A review of 1061 laparoscopic procedures found that preoperative clinical diagnoses were incorrect approximately 50% of the time, with pelvic inflammatory disease, endometriosis, and ovarian cysts most frequently confused, and a 2.6% complication rate.

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Abstract

One thousand sixty-one laparoscopic procedures (80% for diagnostic indications and 20% for therapeutic indications) performed during a 51-month period were reviewed to assess the effectiveness of laparoscopy in improving clinical diagnosis and avoiding major surgery. The error in preoperative clinical assessment as compared to postlaparoscopic diagnosis was approximately 50%: disease was suspected more often than found. Pelvic inflammatory disease, endometriosis, and ovarian cyst were the entities most often confused. Tubal coagulation was the most common procedure performed for therapeutic reasons. The complication rate for all laparoscopies and associated procedures was 2.6%.

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Condition tags

endometriosis

MeSH descriptors

Laparoscopy Laparoscopy Adolescent Adult Aged Child Endometriosis Endometriosis Female Genital Neoplasms, Female Genital Neoplasms, Female Humans Infertility, Female Infertility, Female Middle Aged Pelvic Inflammatory Disease Pelvic Inflammatory Disease

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