Five Thousand Cases of Diagnostic Laparoscopy In Gynecologic Disorders

Abstract

Five thousand consecutive cases of diagnostic laparoscopy were analysed. Infertility was the most common problem which rendered itself to laparoscopic evaluation. Laparoscopy disclosed pelvic abnormalities in 84.6% of 3.401 infertile patients. Tubal occlusion and pelvic adhesions were the most common abnormalities. This study showed a discrepancy rate of 23.0% between laparoscopic and hysterosalpingographic findings in 1,976 infertile patients with regard to the tubal patency. In 55.8% of 369 patients with suspected ectopic pregnancy, the diagnosis was confirmed by laparoscopic examination. And laparoscopic evaluation can circumvent the unnecessary laparotomy in 32.0% of patients. The error in prelaparoscopic diagnosis of obscure pelvic mass was 29.4% and laparotomy was avoided in 17.1% following laparoscopic examination.