The role of laparoscopy in the propaedeutics of gynecological diagnosis

Autor: Gislaine Laperuta Serafim Argentino, Flávia Neves Bueloni-Dias, Nilton José Leite, Gustavo Filipov Peres, Leonardo Vieira Elias, Vitória Cristina Bortolani, Carlos Roberto Padovani, Daniel Spadoto-Dias, Rogério Dias
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Acta Cirúrgica Brasileira, Vol 34, Iss 1 (2019)
Druh dokumentu: article
ISSN: 0102-8650
70845409
DOI: 10.1590/s0102-865020190010000010
Popis: 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 (P0.05). Conclusion: The use of laparoscopy considerably contributed to diagnostic elucidation, especially in cases of undetermined chronic pelvic pain.
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