Office hydrolaparoscopy for the diagnosis of endometriosis and tubal infertility

I Brosens, Ivo Brosens, Jan J. Brosens, R Campo, Rudi Campo, S Gordts, Stephan Gordts
Current opinion in obstetrics & gynecology · 1999 · vol. 11(4) , pp. 371–377 · doi:10.1097/00001703-199908000-00003 · PMID:10498023 · W2313222531
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Office-based transvaginal hydrolaparoscopy, performed under local anesthesia, allows diagnosis of endometriosis and adhesions by inspecting the tubo-ovarian structures in fluid.

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Abstract

Transvaginal hydrolaparoscopy has been described as an office procedure that is particularly suitable for the diagnosis of endometriosis and adhesions. It is recommended as a first line procedure in patients with infertility. The procedure is performed under local anaesthesia or sedation in an office setting. The abdominal distension is achieved by transvaginal instillation of warm saline using a combined Veress needle-trocar system. The exploration under fluid allows the inspection of the tubo-ovarian structures in their natural position and the easy identification of endometriotic lesions and adhesions in the posterior pelvis. The limitation of the inspection to the posterior pelvis is not a major problem for the diagnosis of endometriosis because exclusively anterior pelvis endometriosis is rare and of doubtful significance in infertility. Transvaginal hydrolaparoscopy can be performed in the office setting in combination with minihysteroscopy, tubal patency test and salpingoscopy, offering major advantages for the diagnosis of pelvic disease in patients with infertility.

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Condition tags

mesh:D004715endometriosisinfertility

MeSH descriptors

Endometriosis Fallopian Tube Diseases Infertility Laparoscopy Vagina Ambulatory Surgical Procedures Endometriosis Fallopian Tube Diseases Female Humans Infertility Laparoscopy

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (33)

Cited by (16)

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