Increased Histologic Confirmation of Endometriosis
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This study found that operative laparoscopy, particularly therapeutic laparoscopy, was associated with a 64% increase in the histologic diagnosis of endometriosis between 1982 and 1986.
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Abstract
This retrospective documentation study was designed to study the possible causes associated with a 64% increase in histologic diagnosis of endometriosis between 1982 and 1986. The largest area of increase was associated with the use of operative laparoscopy. There was a minor increase at laparotomy, whereas at hysterectomy there was no appreciable change in histologic diagnosis. Although there was an overall increase in sensitivity (measure of the surgeon's ability to see and document endometriosis when present) and predictive positivity (surgeon's ability to predict what the pathologist will see) among all subgroups of physicians, the largest increase was associated with an increased use of therapeutic laparoscopy. The lowest sensitivities were associated with coexistent pathology, such as myomata, pelvic cancer, and severe adhesions. (J GYNECOL SURG 6:275, 1990)
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Cited by (17)
- Response to McKee et al. re: “Diagnosis of Endometriosis: The Surgeon's Eye Compared to Histopathology” 2023
- Is the presence of deep infiltrative endometriosis underestimated in the surgical management of endometriosis? 2023
- The epidemiology of endometriosis is poorly known as the pathophysiology and diagnosis are unclear 2020
- Surgical Interventions 2020
- Epidemiology of subtle, typical, cystic, and deep endometriosis: a systematic review 2016
- Robot assisted laparoscopic documentation of endometriosis 2013
- Excisional versus ablative surgery for peritoneal endometriosis 2011
- Excisional versus ablative surgery for peritoneal endometriosis 2011
- Laparoscopic Excision of Lesions Suggestive of Endometriosis or Otherwise Atypical in Appearance: Relationship Between Visual Findings and Final Histologic Diagnosis 2008
- Diagnosis of Stage I Endometriosis: Comparing Visual Inspection to Histologic Biopsy Specimen 2008
- P-361 2006
- Hysterectomy for treatment of pain associated with endometriosis 2006
- Epidemiology of Endometriosis 2003
- Endometriosis: Correlation between histologic and visual findings at laparoscopy 2003
- The Role of Laparoscopy in the Chronic Pelvic Pain Patient 2003
- Research Aspects of Endometriosis Surgery 2002
- Laparoscopic diagnosis of endometriosis 2002
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