Accuracy of laparoscopic diagnosis of endometriosis

Mettler, L; Shukla, D; Schollmeyer, Thoralf

doi:10.1016/s1074-3804(03)80032-4

Cited by 35 publications

(50 citation statements)

References 10 publications

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“…Yet, the drawbacks of performing a laparoscopic diagnosis derive from the diversity of endometriotic appearances according to the site of the endometriotic lesion. For example, in a frozen pelvis, adhesions may completely cover endometriotic lesions [16]. In the present study, female age ranged from 17 to 43 4/5…”

Section: Discussionmentioning

confidence: 68%

“…The laparoscopic diagnosis of endometriosis as described in the literature varies widely because of the presence of a wide range of presumably characteristic lesions [17,18,20] . The promptness and accuracy of diagnosis is an important contribution to the application of early treatment and the prevention of scarring and adhesion and compromise of fertility [16] In the present study, laparoscopic was performed for 85suspected endometriosis patients, 69(81.18%) histopathologically confirmed to be endometriosis. This finding is in accordance with various published reports that have shown that the presence of endometriosis observed at laparoscopy or laparotomy could be confirmed histologically in the majority of cases [18,20,21].…”

Section: Discussionmentioning

confidence: 88%

“…Early and accurate diagnosis of endometriosis may improve the quality of life of patients and provide cost-effective and long-lasting treatment [16]. Laparoscopy is the standard method for visually identifying the endometriotic lesions under magnification within and outside the minor pelvis, and for performing targeted biopsies for histologic corroboration [17,18].…”

Section: Discussionmentioning

confidence: 99%

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Untitled

2018

IGRWH

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Endometriosis is a benign disease of the female genital system. It is characterized by endometrium-like tissue, consisting of glands and/or stroma, found outside the uterine cavity, the aim of this study to test the efficacy of laparoscopy in diagnoses of endometriosis, the present study was conducted on 69 patients (85 sample) complaining of pain and or infertility aged (14-48) year with exclusion of patient with pregnancy, pelvic malignancy and pelvic inflammatory disease.

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

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Untitled

2018

IGRWH

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“…In patients with clinical suspicion of endometriosis, diagnostic laparoscopy has been shown by subsequent histopathological testing to confirm the diagnosis in 78% to 84% of the patients, 11,12 although significantly lower rates than this have also been reported. [13][14][15] Diagnostic laparoscopy is an excellent tool for direct visualization of the pelvis and may help identify the etiology of the patients' pain, 16 and surgical ablation of disease can occur in the same procedure.…”

Section: Diagnosismentioning

confidence: 98%

Defining Future Directions for Endometriosis Research: Workshop Report From the 2011 World Congress of Endometriosis in Montpellier, France

D’Hooghe²,

et al. 2013

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Endometriosis, defined as estrogen-dependent lesions containing endometrial glands and stroma outside the uterus, is a chronic and often painful gynecological condition that affects 6% to 10% of reproductive age women. Endometriosis has estimated annual costs of US $12 419 per woman (approximately €9579), comprising one-third of the direct health care costs with two-thirds attributed to loss of productivity. Decreased quality of life is the most important predictor of direct health care and total costs. It has been estimated that there is a mean delay of 6.7 years between onset of symptoms and a surgical diagnosis of endometriosis, and each affected woman loses on average 10.8 hours of work weekly, mainly owing to reduced effectiveness while working. To encourage and facilitate research into this debilitating disease, a consensus workshop to define future directions for endometriosis research was held as part of the 11th World Congress on Endometriosis in September 2011 in Montpellier, France. The objective of this workshop was to review and update the endometriosis research priorities consensus statement developed following the 10th World Congress on Endometriosis in 2008. 1 A total of 56 recommendations for research have been developed, grouped under 6 subheadings: (1) diagnosis, (2) classification and prognosis, (3) clinical trials, treatment, and outcomes, (4) epidemiology, (5) pathophysiology, and (6) research policy. By producing this consensus international research priorities statement, it is the hope of the workshop participants that researchers will be encouraged to develop new interdisciplinary research proposals that will attract increased funding support for work on endometriosis.

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“…Patients with an isolated ovarian endometrioma (i.e. no other evidence of endometriosis) are uncommon, and an isolated extraovarian endometrioma is even more rare [6]. Histologic confirmation of endometriosis requires evidence of endometrial glands and stroma outside of the cavity of the uterus.…”

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confidence: 99%