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. 2019 Feb 14;34(1):e20190010000010.
doi: 10.1590/s0102-865020190010000010.

The role of laparoscopy in the propaedeutics of gynecological diagnosis1

Gislaine Laperuta Serafim Argentino  1 , Flávia Neves Bueloni-Dias  2 , Nilton José Leite  1 , Gustavo Filipov Peres  1 , Leonardo Vieira Elias  1 , Vitória Cristina Bortolani  3 , Carlos Roberto Padovani  4 , Daniel Spadoto-Dias  2 , Rogério Dias  5
Affiliations

The role of laparoscopy in the propaedeutics of gynecological diagnosis1

Gislaine Laperuta Serafim Argentino et al. Acta Cir Bras. .

Abstract

Purpose: To evaluate agreement between pre- and post-laparoscopy gynecological diagnosis in order to demonstrate the rationality of this minimally invasive technique use in gynecological propaedeutics.

Methods: Retrospective chart review study conducted between March 2010 and October 2016 based on a convenience sample. 315 patients undergoing surgical laparoscopy at the Center of Gynecologic Endoscopy and Family Planning of Botucatu Medical School/UNESP. Pre- and postoperative diagnoses were compared by the diagnosis agreement test considering the proportions of events.

Results: Laparoscopy contributed to diagnosis in 59.6% of infertility cases (P>0.05), in 93.7% of chronic pelvic pain of undetermined origin (P<0.01) and conclusively elucidated the diagnosis of acute abdomen and the ruling out of tubo-ovarian abcess (P<0.05). Laparoscopy also increased the diagnosis of pelvic-abdominal adhesions in 76.7% (P>0.05).

Conclusion: The use of laparoscopy considerably contributed to diagnostic elucidation, especially in cases of undetermined chronic pelvic pain.

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Conflict of interest statement

Conflict of interest: none

Figures

Figure <b>1</b>
Figure 1. Flowchart of diagnosis in 315 patients who underwent surgical laparoscopy between March 2010 and October 2016 in the Gynecologic Endoscopy Service of Botucatu Medical School/UNESP.
Figure 2
Figure 2. Post-laparoscopy diagnosis of preoperative undefined infertility.
Figure 3
Figure 3. Post- laparoscopy diagnosis of preoperative chronic pelvic pain of undetermined origin.
See this image and copyright information in PMC

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