Transvaginal hydrolaparoscopy but not standard laparoscopy reveals subtle endometriotic adhesions of the ovary

Brosens I, I Brosens, Ivo Brosens, S. Gordts, Stephan Gordts, Gordts S, R CAMPO, Rudi Campo, Campo R
Fertility and sterility · 2001 · vol. 75(5) , pp. 1009–1012 · doi:10.1016/s0015-0282(01)01702-2 · PMID:11334917 · W2066993395
Non-randomised trial OA: closed CC0 ⤵ 31 in-corpus citations
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Transvaginal hydrolaparoscopy identified subtle ovarian endometriotic adhesions that were not visible with standard laparoscopy.

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Abstract

OBJECTIVE: To determine whether transvaginal hydrolaparoscopy is superior to standard laparoscopy for detection of subtle endometriotic adhesions of the ovary. DESIGN: Videotapes of standard laparoscopy and transvaginal hydrolaparoscopy were viewed by an independent observer in random order and in a blinded manner. SETTING: Tertiary referral centers for infertility. PATIENT(S): Patients with minimal or mild endometriosis (n = 11) and unexplained infertility (n = 10) on standard laparoscopy from a group of 43 patients with infertility who were undergoing both studies. INTERVENTION(S): Transvaginal hydrolaparoscopy followed by standard laparoscopy. MAIN OUTCOME MEASURE(S): Detection of unexplained ovarian adhesions. RESULT(S): Patients with minimal and mild endometriosis and unexplained infertility had significantly more ovarian adhesions on transvaginal hydrolaparoscopy than on standard laparoscopy. The subtle adhesions seen on transvaginal hydrolaparoscopy but not on standard laparoscopy were filmy, microvascularized, and nonconnecting. CONCLUSION(S): Unexplained ovarian adhesions are frequently detected on transvaginal hydrolaparoscopy but not on standard laparoscopy in infertile patients with minimal and mild endometriosis and unexplained infertility.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Laparoscopy Ovarian Diseases Endometriosis Endometriosis Endometriosis Female Female Humans Humans Infertility, Female Infertility, Female Infertility, Female Infertility, Female Laparoscopy Laparoscopy Ovarian Diseases Ovarian Diseases Ovarian Diseases Tissue Adhesions

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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 (24)

Cited by (27)

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