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. 2016 Jan-Feb;134(1):70-3.
doi: 10.1590/1516-3180.2014.00241501. Epub 2015 Oct 9.

The role of diagnostic laparoscopy in gynecology

Raquel Togni  1 , Cristina Laguna Benetti-Pinto  2 , Daniela Angerame Yela  2
Affiliations

The role of diagnostic laparoscopy in gynecology

Raquel Togni et al. Sao Paulo Med J. 2016 Jan-Feb.

Abstract
in English, Portuguese

Context and objectives: Laparoscopy is a diagnostic method that is currently becoming consolidated for therapeutic use. It consists of endoscopically viewing the abdominal cavity. The aim here was to evaluate the indications for diagnostic videolaparoscopy and the intraoperative findings in an endoscopic gynecology clinic at a tertiary-level hospital over the last five years.

Design and setting: Retrospective descriptive study on all diagnostic videolaparoscopy procedures of the last five years carried out in the endoscopic gynecology clinic of a tertiary-level hospital.

Methods: The medical records of 618 women who underwent diagnostic laparoscopy between 2008 and 2012 were analyzed. The clinical characteristics of these women, the indications for videolaparoscopy and the intraoperative findings were evaluated.

Results: The women's mean age was 32 ± 6.4 years. Most of the women had already undergone at least one previous operation (60%), which was most frequently a cesarean. The indications for performing videolaparoscopy were infertility in 57%, chronic pelvic pain in 27% and others (intrauterine device, adnexal tumor, ectopic pregnancy or pelvic inflammatory disease) in 16%. The main laparoscopic findings were tubal alterations in the group with infertility (59.78%) and peritoneal alterations in the group with chronic pelvic pain (43.54%).

Conclusion: The main indications for videolaparoscopy in gynecology were infertility and chronic pelvic pain. However, in most procedures, no abnormalities justifying these complaints were found.

CONTEXTO E OBJETIVOS:: A laparoscopia é um método diagnóstico que atualmente se consolida como terapêutico e se caracteriza pela visão endoscópica da cavidade abdominal. O objetivo foi avaliar as indicações de videolaparoscopia diagnóstica e os achados intraoperatórios no serviço de videolaparoscopia ginecológica de um hospital terciário nos últimos cinco anos.

DESENHO E LOCAL:: Estudo retrospectivo descritivo com todos os procedimentos videolaparoscópicos diagnósticos dos últimos cinco anos realizados no serviço de ginecologia endoscópica de um hospital terciário.

MÉTODOS:: Foram analisados 618 prontuários de mulheres submetidas à laparoscopia diagnóstica entre os anos de 2008 a 2012. Foram avaliadas as características clínicas dessas mulheres, bem como as indicações da videolaparoscopia e os achados intraoperatórios.

RESULTADOS:: As mulheres tinham em média 32 ± 6.4 anos. A maioria das mulheres já tinha feito pelo menos uma cirurgia anterior (60%), sendo que a mais frequente foi a cesárea. As indicações para a realização da videolaparoscopia foram 57% por infertilidade, 27% por dor pélvica crônica e 16% outras (dispositivo intrauterino, tumor anexial, gravidez ectópica e doença inflamatória pélvica). Os principais achados laparoscópicos foram alterações tubárias no grupo com infertilidade (59.78%) e alterações peritoneais no grupo com dor pélvica (43.54%).

CONCLUSÃO:: As principais indicações da videolaparoscopia em ginecologia são infertilidade e dor pélvica crônica; mas na maior parte dos procedimentos não foram encontradas alterações que justifiquem essas queixas.

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Conflict of interest statement

Conflict of interest: None

Figures

Table 1.
Table 1.. Laparoscopic findings according to the indication
See this image and copyright information in PMC

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