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Diagnostic laparoscopy in pre‐surgical planning for higher stage endometriosis: Is it still relevant?
Author(s) -
Menakaya Uche A.,
Rombauts Luk,
Johnson Neil P.
Publication year - 2016
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/ajo.12505
Subject(s) - medicine , endometriosis , laparoscopy , modalities , stage (stratigraphy) , surgical planning , general surgery , radiology , medical physics , gynecology , paleontology , social science , sociology , biology
It has become necessary to re ‐ examine the relevance of diagnostic laparoscopy in the two‐stage approach to surgical management of symptomatic women with higher stage endometriosis following emerging evidence demonstrating acceptable diagnostic performance of alternative less invasive and less expensive imaging modalities. We highlight the relative merits of these presurgical diagnostic imaging modalities and propose strategies that address the challenge of transitioning to a new diagnostic paradigm in the management of symptomatic women with higher stage endometriosis.