Dudley Road Hospital, Birmingham B18 7QH.
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ONE THOUSAND CONSECUTIVE CASES OF DIAGNOSTIC LAPAROSCOPY
Article first published online: 23 AUG 2005
DOI: 10.1111/j.1471-0528.1972.tb11880.x
Issue
1471-0528/asset/cover.gif?v=1&s=b4e1d96c46e18c61210d584b63c13ee375cf562b "BJOG: An International Journal of Obstetrics & Gynaecology")
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 79, Issue 11, pages 1016–1024, November 1972
Additional Information
How to Cite
Duignan, N. M., Jordan, J. A., Coughlan, B. M. and Logan-Edwards, R. (1972), ONE THOUSAND CONSECUTIVE CASES OF DIAGNOSTIC LAPAROSCOPY. BJOG: An International Journal of Obstetrics & Gynaecology, 79: 1016–1024. doi: 10.1111/j.1471-0528.1972.tb11880.x
Publication History
- Issue published online: 23 AUG 2005
- Article first published online: 23 AUG 2005
- Abstract
- References
- Cited By
Summary
One thousand consecutive cases of diagnostic laparoscopy are reported. The commonest indications were infertility, amenorrhoea and pelvic pain. Abnormalities were detected in 37.5 per cent of patients with primary infertility, and in 51 per cent of patients with secondary infertility. Laparoscopy provided a more accurate assessment of tubal patency and function than did hysterosalpingography. An ovarian biopsy was taken from 39 patients and provided more definitive information towards the diagnosis and management of patients with amenorrhoea than did urinary steroid investigations. In patients with pelvic pain the clinical findings were confirmed in 61.5 per cent of patients; in 27.4 per cent unsuspected abnormalities were found, and in 11.1 per cent the clinical diagnosis was shown to have been wrong. A diagnosis of early unruptured tubal pregnancy was confirmed in 33 per cent of patients with indefinite clinical findings. The majority of patients with dysmenorrhoea had no abnormality. The only serious complication was a uretero-vaginal fistula after attempted biopsy of a streak ovary and later hysterectomy.