P18.10: Correlation between laparoscopic macroscopic appearance of superficial endometriosis and histopathological confirmation

To determine correlation between macroscopic appearances of superficial endometriotic lesions noted at laparoscopy and the final histopathology diagnosis. A prospective cohort study involving consecutive women with chronic pelvic pain who underwent laparoscopy between January 2015 - December 2016. The laparoscopic findings were recorded in terms of location, number and morphological description (i.e. red spot, white spot, pocket and/or fibrous adhesion) of the endometriotic lesions. These findings were correlated with the final histopathological diagnosis. All endometriotic lesions were excised at the time of laparoscopy. A total of 77 consecutive women underwent laparoscopy. 9/77 were noted to have deep infiltrating endometriosis with bowel involvement and were excluded. 4/77 had a negative laparoscopy with normal pelvis. 64/77 had visualised lesions suspicious of superficial endometriosis. The mean age of the women was 27.7±7.7 y, 37% were nulliparous, 27.5% had previous history of endometriosis. A total of 180 biopsies were collected . The description of lesion were: red spots74/180, white spot 87/180, peritoneal pocket 11/180 and adhesions 8/180. Overall histopathological confirmation rate for endometriosis was 56%. There was no correlation between lesion distribution, morphology and positive diagnosis of endometriosis (p-value=0.8). These parameters were not statistically different in the presence of past history of endometriosis (p-value=0.19). Although the numbers in this study are small, there is no correlation between the macroscopic appearance of superficial endometriosis lesions and gold standard histological confirmation.