Diagnostic accuracy of transvaginal hydrolaparoscopy in infertility
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⤵ 27 in-corpus citations
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Abstract
OBJECTIVE: To determine whether the accuracy of transvaginal hydrolaparoscopy is comparable to that of standard laparoscopy for the diagnosis of infertility.
DESIGN: Prospective, comparative study.
SETTING: General hospital in Belgium.
PATIENT(S): Ten infertile patients without obvious pelvic pathology.
INTERVENTION(S): Two gynecologists independently performed transvaginal hydrolaparoscopy and standard laparoscopy and reported the observations in a confidential manner to a third person.
MAIN OUTCOME MEASURE(S): Endometriosis, adhesions, and other pelvic pathology related to infertility.
RESULT(S): Minimal or mild endometriosis was diagnosed in seven patients and sequelae of pelvic inflammatory disease in one patient at both procedures. The interobserver agreement for tuboovarian adhesions was 95% at transvaginal hydrolaparoscopy and 74% at standard laparoscopy. Ovarian adhesions were detected in 63% at transvaginal hydrolaparoscopy and in 37% at standard laparoscopy.
CONCLUSION(S): Transvaginal hydrolaparoscopy is comparable in accuracy to standard laparoscopy for the diagnosis of adhesions and endometriosis in infertile patients without obvious pathology.
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Cited by (26)
- Diagnosis and treatment of early-stage endometriosis by Transvaginal Hydro laparoscopy 2023
- In-office transvaginal hydrolaparoscopy: a step-by-step, intraoperative pain evaluation 2015
- Pathophysiology proposed as the basis for modern management of the ovarian endometrioma 2013
- Rationale of first-line endoscopy-based fertility exploration using transvaginal hydrolaparoscopy and minihysteroscopy 2012
- Laparoscopy for Diagnosis and Treatment of Endometriosis 2011
- $R0APAIOANNOUISACONSULTANT/BSTETRICIANAND'YNAECOLOGISTATTHE(EARTOF%NGLAND .(3&OUNDATION4RUSTIN"IRMINGHAM5+4HETOPICFORHIS-$WASTHEUSEOFSELECTIVE SALPINGOGRAPHYANDTUBALCATHETERISATIONCOMPLETEDATTHE5NIVERSITYOF"IRMINGHAMDURING HISCLINICALFELLOWSHIPINREPRODUCTIVEMEDICINE(EHASAKEENINTERESTINTHESTUDYOFTHE &ALLOPIANTUBEANDTHETREATMENTOFTUBALDISEASE 2007
- Major complications and outcome of diagnostic and operative transvaginal hydrolaparoscopy 2007
- Tubal assessment tests: still have not found what we are looking for 2007
- Transvaginal hydrolaparoscopy: an advance or a gimmick! 2006
- Transvaginal endoscopy: new technique evaluating female infertility. Three Mediterranean countries’ experiences 2005
- One stop fertility clinic 2005
- Diagnosis of endometriosis: pelvic endoscopy and imaging techniques 2004
- Should laparoscopy be a mandatory component of the infertility evaluation in infertile women with normal hysterosalpingogram or suspected unilateral distal tubal pathology? 2004
- Progress in transvaginal hydrolaparoscopy 2004
- Transvaginal laparoscopy 2003
- Usefulness and prognostic value of transvaginal hydrolaparoscopy in infertile women 2003
- Experience with 109 cases of transvaginal hydrolaparoscopy 2003
- Endometriosis: modern surgical management to improve fertility 2003
- Transvaginal hydrolaparoscopy: a new diagnostic tool in infertility investigation 2002
- Transvaginal hydrolaparoscopy but not standard laparoscopy reveals subtle endometriotic adhesions of the ovary 2001
- An appraisal of the role of laparoscopy: past, present, and future 2001
- Diagnostic and operative transvaginal hydrolaparoscopy for infertility and pelvic pain 2001
- Hidrolaparoscopia transvaginal: optimizando la técnica 2001
- Operative transvaginal hydrolaparoscopy of a large ovarian endometrioma 2000
- Office transvaginal hydrolaparoscopy for early diagnosis of pelvic endometriosis and adhesions 2000
- Is laparoscopy the gold standard for the diagnosis of endometriosis? 2000
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- pubmed
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