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Diagnostic Gynecologic Laparoscopy —Analysis of 1226 cases—
Author(s) -
Punn Reijo
Publication year - 1983
Publication title -
asia‐oceania journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 0389-2328
DOI - 10.1111/j.1447-0756.1983.tb00622.x
Subject(s) - medicine , laparoscopy , endometriosis , pelvic pain , ectopic pregnancy , pregnancy , pelvic inflammatory disease , obstetrics and gynaecology , gynecology , obstetrics , surgery , general surgery , biology , genetics
During the period 1971–1980 a total of 1226 diagnostic laparoscopies were performed at the Department of Obstetrics and Gynecology of Turku University Central Hospital. In 591 patients the indication for laparoscopy was chronic pelvic pain. The most common pathology in these patients was endometriosis (36 per cent). Adhesions and pelvic varicosis were the next most common findings. In 197 patients (33 per cent) no pathology was found in laparoscopic examination. Endometriosis and adhesions were also the most common finding in the 288 infertile patients; 43 per cent of the 55 infertile patients with a normal HSG showed pathology in laparoscopy. Laparoscopy is also an important tool in the decision for or against tuboplasty. Suspected ectopic pregnancy was the indication for 182 patients. In 73 of the patients (40 per cent) the finding was a tubal pregnancy and in three cases an ovarian pregnancy was found. Other indications for diagnostic laparoscopy had been for example primary and secondary amenorrhoea, hirsutism and anomalies in the genital tract. Often laparoscopy can be both diagnostic and therapeutic.