Office transvaginal hydrolaparoscopy for early diagnosis of pelvic endometriosis and adhesions

S. Gordts, Stephan Gordts, Gordts S, Rudi Campo, Campo R, R CAMPO, Ivo Brosens, I Brosens, Brosens I
The Journal of the American Association of Gynecologic Laparoscopists · 2000 · vol. 7(1) , pp. 45–49 · doi:10.1016/s1074-3804(00)80008-0 · PMID:10648738 · W2068342643
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This paper describes a novel office-based transvaginal hydrolaparoscopy technique for the early diagnosis of pelvic endometriosis and adhesions.

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Abstract

UNLABELLED: STUDY OBJECTIVE. To evaluate the feasibility of a new endoscopic technique, transvaginal hydrolaparoscopy, for early office screening of subfertile women. DESIGN. Retrospective, descriptive feasibility study (Canadian Task Force classification II-2). SETTING: Office in an infertility center. PATIENTS: One hundred fifty-seven continuous women with primary or secondary subfertility. INTERVENTION: Under local anesthesia, a Veress needle-cannula system was inserted into the posterior fornix with peritoneal distention by saline. MEASUREMENTS AND MAIN RESULTS: Access was achieved in 95% of patients. In 58.5% the findings were normal and in 28% an explorative or operative laparoscopy was indicated. No major complication occurred. Patients' pain scores were similar to those for office hysteroscopy. CONCLUSION: Transvaginal hydrolaparoscopy was successfully performed in the office. The technique allows early and complete endoscopic screening of subfertile women.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Infertility, Female Laparoscopy Tissue Adhesions Ambulatory Care Ambulatory Care Anesthesia, Local Anesthesia, Local Endometriosis Endometriosis Fallopian Tube Diseases Fallopian Tube Diseases Fallopian Tube Diseases Feasibility Studies Feasibility Studies Female Female Humans Humans Infertility, Female

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (30)

Cited by (19)

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License: CC0 · commercial use OK