Laparoscopy: advances and advantages.

Golditch Im, I M Golditch, Ira M. Golditch
Fertility and sterility · 1971 · vol. 22(5) , pp. 306–10 · doi:10.1016/s0015-0282(16)38221-8 · PMID:4252494 · W58934228
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Laparoscopic evaluation of 135 cases at Kaiser Foundation Hospital revealed substantial pelvic disease, including endometriosis in 29% of infertility patients, demonstrating improved visualization and safety with no major complications.

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Abstract

The first 135 laparoscopic cases at the Kaiser Foundation Hospital in San Francisco are described. Laproscopy was usually performed for evaluative purposes. The techniques involved are presented in detail. The indications for laparoscopy were infertility (75), pelvic mass (22), pelvic pain(20), tubal sterilization (14), second look at treated ovarian carcinoma (2), and determination of etiology of ascites (2). No major complications occurred. 74 of the 75 infertility patients were discharged within 1 day of the procedure. In 21 infertility patients thought to have no pathologic intrapelvic involvement, laparoscopy showed substantial pelvic disease in 11(52%), endometriosis in 6 (29%), and multiple pelvic adhesions in 5 (23%). Improved visualization of the fallopian tube is a major advantage of laparoscopic investigation.

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Condition tags

endometriosisinfertility

MeSH descriptors

Genital Diseases, Female Infertility, Female Laparoscopy Culdoscopy Endometriosis Endometriosis Fallopian Tubes Female Genital Diseases, Female Humans Infertility, Female Methods Pelvic Neoplasms Pelvic Neoplasms Pneumoperitoneum, Artificial Pregnancy Sterilization, Reproductive

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