Is microlaparoscopy useful in the diagnosis and follow-up of endometriosis?

Abstract

Objective: Prove the benefits of the use of ML in the diagnosis of endometriosis for patients in their adolescence and adulthood within fertile age with CPP ovarian cysts and 2nd look after previous treatments.Design: Since 1996 we have bee using microlaparoscopy (ML) in the certainty diagnosis of many diseases: Chronic pelvic pain (CPP), endometriosis cysts with an ecographic or resonance diagnosis, 2nd look in those cases that have been previously treated or that have undergone surgery and finally in patients who have been treated in other fertility centers. We also include ML in the study of every couple that starts a fertility study.Materials/Methods: Out of 296 ML, we separated only those who had consulted for: 1—Chronic Pelvic Pain: In adolescents to whom we gave the certainty diagnosis of endometriosis, thus preventing their fertility future. In women within fertile age we found different degrees of endometriosis and we were able to practice biopsies, coagulation, releasing of adherence or surgical treatment within the same surgery. 2—Ovarian tumors: We had a 70% of agreement with the ecographic diagnosis, these patients were treated with translaparoscopic surgery (TLS). 3—2nd look ML: This was practiced on 40 patients to observe their current stage and evaluate the previous treatment.Results: 1—Chronic Pelvic Pain: Out of 49 adolescents: 11 endometriosis; 54 adult women: 41 endometriosis. We used coagulation and section of utero-sacral ligaments in those cases with severe CPP without endometriosis or with a minimal endometriosis (7 cases). 2—Endometriomas that had ecographic or resonance diagnosis. We drew a concordance of 70%. In all cases we practiced the TLS. 3—2nd look: Out of 40 cases, 100% allowed the evaluation of the previous treatment and the procedures to be followed.Conclusions: ML is still the selected technique in the diagnosis of endometriosis for those cases of CPP, ovarian cysts and 2nd look after treatment. It provides the appropriate treatment to be followed with the minor physical and physical trauma.Supported By: U.B.A., French Hospital, Buenos Aires, Argentina. Objective: Prove the benefits of the use of ML in the diagnosis of endometriosis for patients in their adolescence and adulthood within fertile age with CPP ovarian cysts and 2nd look after previous treatments. Design: Since 1996 we have bee using microlaparoscopy (ML) in the certainty diagnosis of many diseases: Chronic pelvic pain (CPP), endometriosis cysts with an ecographic or resonance diagnosis, 2nd look in those cases that have been previously treated or that have undergone surgery and finally in patients who have been treated in other fertility centers. We also include ML in the study of every couple that starts a fertility study. Materials/Methods: Out of 296 ML, we separated only those who had consulted for: 1—Chronic Pelvic Pain: In adolescents to whom we gave the certainty diagnosis of endometriosis, thus preventing their fertility future. In women within fertile age we found different degrees of endometriosis and we were able to practice biopsies, coagulation, releasing of adherence or surgical treatment within the same surgery. 2—Ovarian tumors: We had a 70% of agreement with the ecographic diagnosis, these patients were treated with translaparoscopic surgery (TLS). 3—2nd look ML: This was practiced on 40 patients to observe their current stage and evaluate the previous treatment. Results: 1—Chronic Pelvic Pain: Out of 49 adolescents: 11 endometriosis; 54 adult women: 41 endometriosis. We used coagulation and section of utero-sacral ligaments in those cases with severe CPP without endometriosis or with a minimal endometriosis (7 cases). 2—Endometriomas that had ecographic or resonance diagnosis. We drew a concordance of 70%. In all cases we practiced the TLS. 3—2nd look: Out of 40 cases, 100% allowed the evaluation of the previous treatment and the procedures to be followed. Conclusions: ML is still the selected technique in the diagnosis of endometriosis for those cases of CPP, ovarian cysts and 2nd look after treatment. It provides the appropriate treatment to be followed with the minor physical and physical trauma. Supported By: U.B.A., French Hospital, Buenos Aires, Argentina.