The role of laparoscopy in the propaedeutics of gynecological diagnosis

Argentino, Gislaine Laperuta SerafimBueloni-Dias, Flávia NevesLeite, Nilton JoséPeres, Gustavo FilipovElias, Leonardo VieiraBortolani, Vitória CristinaPadovani, Carlos RobertoSpadoto-Dias, DanielDias, Rogério

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 (P<0.01) and conclusively elucidated the diagnosis of acute abdomen and the ruling out of tubo-ovarian abcess (P<0.05). Laparoscopy also increased the diagnosis of pelvic-abdominal adhesions in 76.7% (P>0.05).Conclusion:The use of laparoscopy considerably contributed to diagnostic elucidation, especially in cases of undetermined chronic pelvic pain.(AU)

1. Techniques
2. Pelvic Pain
3. Female
4. Endometriosis
5. Laparoscopy
6. Education
7. Infertility
8. Medical