Laparoscopic Imaging Techniques in Endometriosis Therapy: A Systematic Review
| Autor: | Judith J.M.L. Dekker, Stijn L. Vlek, Velja Mijatovic, Marit C. I. Lier, Jurriaan B. Tuynman, M. Ankersmit, Johannes C.F. Ket |
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| Přispěvatelé: | Surgery, Obstetrics and gynaecology, ICaR - Ischemia and repair |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Endometriosis Cochrane Library Sensitivity and Specificity law.invention 03 medical and health sciences Narrow Band Imaging 0302 clinical medicine Randomized controlled trial Quality of life law White light Medicine Humans Prospective Studies Laparoscopy Prospective cohort study 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Pelvic pain Optical Imaging Obstetrics and Gynecology medicine.disease Surgery 030220 oncology & carcinogenesis Female Radiology medicine.symptom business |
| Zdroj: | Vlek, S L, Lier, M C I, Ankersmit, M, Ket, J C F, Dekker, J J M L, Mijatovic, V & Tuynman, J B 2016, ' Laparoscopic Imaging Techniques in Endometriosis Therapy: A Systematic Review ', Journal of Minimally Invasive Gynecology, vol. 23, no. 6, pp. 886-892 . https://doi.org/10.1016/j.jmig.2016.06.019 Journal of Minimally Invasive Gynecology, 23(6), 886-892. Elsevier |
| ISSN: | 1553-4669 1553-4650 |
| DOI: | 10.1016/j.jmig.2016.06.019 |
| Popis: | Endometriosis is a common disease associated with pelvic pain and subfertility. Laparoscopic surgical treatment has proven effective in endometriosis, but is hampered by a high rate of recurrence. The aim of this systematic review was to evaluate the intraoperative identification of endometriosis by enhanced laparoscopic imaging techniques, focusing on sensitivity and specificity. A systematic review was conducted according to PRISMA guidelines in PubMed, Embase, Cochrane Library, and Web of Science. Published prospective studies reporting on enhanced laparoscopic imaging techniques during endometriosis surgery were included. General study characteristics and reported outcomes, including sensitivity and specificity, were extracted. Nine studies were eligible for inclusion. Three techniques were described: 5-ALA fluorescence (5-ALA), autofluorescence (AFI), and narrow-band imaging (NBI). The reported sensitivity of 5-ALA and AFI for identifying endometriosis ranged from 91% to 100%, compared with 48% to 69% for conventional white light laparoscopy (WL). A randomized controlled trial comparing NBI + WL with WL alone reported better sensitivity of NBI (100% vs 79%; p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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