Produção Nacional
Revisado por pares
The role of laparoscopy in the propaedeutics of gynecological diagnosis
2019; Sociedade Brasileira Para o Desenvolvimento da Pesquisa em Cirurgia; Volume: 34; Issue: 1 Linguagem: Inglês
10.1590/s0102-865020190010000010
ISSN1678-2674
AutoresGislaine 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,
Tópico(s)Endometriosis Research and Treatment
ResumoPurpose: 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). Conclusion: The use of laparoscopy considerably contributed to diagnostic elucidation, especially in cases of undetermined chronic pelvic pain.
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