Findings in 200 consecutive asymptomatic women, having a laparoscopic sterilization

J B Trimbos, J. Baptist Trimbos, G C Trimbos-Kemper, G.C.M. Trimbos-Kemper, A A Peters, A.A.W. Peters, C D van der Does, Eylard V. van Hall, E V van Hall
Archives of gynecology and obstetrics · 1990 · vol. 247(3) , pp. 121–124 · doi:10.1007/bf02390859 · PMID:2142404 · W2014105866
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Laparoscopic sterilization in 200 asymptomatic women revealed abnormalities in 26% of cases, including pelvic adhesions, fibromyomas, endometriosis, and ovarian cysts.

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The paper reports laparoscopic findings in 200 asymptomatic, healthy women undergoing sterilization, documenting pelvic abnormalities observed during surgery. Overall, 148 women (74%) had no abnormalities, while 52 (26%) had findings that included pelvic adhesions (14%), uterine fibromyomas (5%), endometriosis (3%), and ovarian or parovarian cysts (2%). A key limitation is that the cohort was asymptomatic and healthy, and the laparoscopic evaluation was performed in the context of sterilization rather than for suspected pathology. Relevance to endometriosis: endometriosis was identified in 3% of these asymptomatic women during diagnostic laparoscopy as part of the paper’s observational laparoscopic survey, though the paper’s main focus is the overall frequency of incidental pelvic findings in this sterilization cohort.

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Summary Laparoscopic findings in 200 asymptomatic, healthy women having a sterilization were recorded; 148 patients (74%) had no abnormality and 52 patients had abnormalities comprising pelvic adhesions (14%), uterine fibromyomas (5%), endometriosis (3%) and ovarian or parovarian cysts (2%). Similar content being viewed by others References Acosta AA, Buttram VC, Besch PK, Malinak LR, Franklin RR, van der Heyden JD (1973) A proposed classification of pelvic endometriosis. Obstet Gynecol 42:19–25 Beard RW, Belsey EM, Lieberman BA, Wilkinson JCM (1977) Pelvic pain in women. Am J Obstet Gynecol 128:566–570 Drake TS, Grunert GM (1976) The unsuspected pelvic factor in the infertility investigation. Fertil Steril 34:27–31 Hasson HM (1976) Incidence of endometriosis in diagnostic laparoscopy. J Reprod Med 16:135–138 Lundberg WI, Wall JE, Mathers JE (1973) Laparoscopy in evaluation of pelvic pain. Obstet Gynecol 42:872–876 Markel SN, Rigberg CC, Strausz IK (1983) Chronic pelvic pain of obscure origin: a clinical study. J Psychosom Obstet Gynecol 2:80–85 Pearce S, Knight C, Beard RW (1982) Pelvic pain — a common gynaecological problem. J Psychosom Obstet Gynecol 1:12–17 Semchyshyn S, Strickler RC (1976) Laparoscopy — is it replacing clinical acumen? Obstet Gynecol 48:615–618 Siegler A (1977) Surgical treatments for tuboperitoneal causes of infertility since 1967. Fertil Steril 28:1019–1032 Strathy JH, Molgaard CA, Coulam CB, Melton LJ III (1982) Endometriosis and infertility: a laparoscopic study of endometriosis among fertile and infertile women. Fertil Steril 38:667–672 Trimbos-Kemper GCM, Trimbos JB, van Hall EC (1982) Etiological factors in tubal infertility. Fertil Steril 37:384–388 de Vries K, Levitan Z, Eibschitz I (1983) Psychological evaluation in chronic pelvic pain. J Psychosom Obstet Gynecol 2:115 Author information Authors and Affiliations Rights and permissions About this article Cite this article Trimbos, J.B., Trimbos-Kemper, G.C.M., Peters, A.A.W. et al. Findings in 200 consecutive asymptomatic women, having a laparoscopic sterilization. Arch Gynecol Obstet 247, 121–124 (1990). https://doi.org/10.1007/BF02390859 Received: Accepted: Issue date: DOI: https://doi.org/10.1007/BF02390859

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MeSH descriptors

Fallopian Tube Diseases Ovarian Diseases Pain Pelvis Adult Chronic Disease Fallopian Tube Diseases Female Humans Laparoscopy Middle Aged Ovarian Diseases Pain Sterilization, Tubal Tissue Adhesions Tissue Adhesions

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