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Fertil Steril. 2001 Dec;76(6):1238-41.

Risk and outcome of bowel injury during transvaginal pelvic endoscopy.

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  • 1Leuven Institute for Fertility and Embryology, Leuven, Belgium.

Abstract

OBJECTIVE:

To determine the risk and outcome of bowel injury associated with new techniques of transvaginal pelvic endoscopy.

DESIGN:

A multinational retrospective survey based on confidential, self-reported cases.

SETTING:

Tertiary referral centers for infertility.

PATIENT(S):

Infertile patients without obvious pelvic pathology.

INTERVENTION(S):

Transvaginal hydrolaparoscopy and fertiloscopy.

MAIN OUTCOME MEASURE(S):

Full-thickness bowel injury.

RESULT(S):

Thirty-nine responders reported a total of 24 bowel injuries (0.65%) in 3667 procedures. After initial experience, the prevalence of bowel injury was 0.25%. All of the injuries were diagnosed during the procedure. Twenty-two (92%) of the cases were managed without consequences.

CONCLUSION(S):

The bowel lesion caused by the new techniques of transvaginal pelvic endoscopy tends to be minor and under strict conditions can be treated expectantly.

PMID:
11730757
[PubMed - indexed for MEDLINE]
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