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Arch Gynecol Obstet. 1990;247(3):121-4.

Findings in 200 consecutive asymptomatic women, having a laparoscopic sterilization.

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  • 1Department of Gynecology and Reproduction, University of Leiden Medical Center, The Netherlands.

Abstract

Laparoscopic findings in 200 asymptomatic, healthy women having a sterilization were recorded; 148 patients (74%) had no abnormality and 52 patients had abnormalities comprising pelvic adhesions (14%), uterine fibromyomas (5%), endometriosis (3%) and ovarian or parovarian cysts (2%).

PIP:

To place diagnostic laparoscopy in perspective, laparoscopic findings in 200 consecutive healthy women having laparoscopic sterilization by clips or rings were recorded. The subjects all had regular menses and a normal pelvic exam. 148 had no pathology on laparoscopy. 52 remaining women had adhesions (28, 14%), hydrosalpinx (3), ovarian cyst (3), endometriosis (5), fibromyomas (10, 5%), parovarian cyst (1), benign bladder tumor (1), and carcinoid bowel tumor (1). 43% of the adhesions were moderate or severe; 26% were associated with history of appendectomy; 68% were located outside the small pelvis. These findings are comparable to those published in 2 other series. They are relevant to management to patients complaining of chronic pain or infertility.

PMID:
2142404
[PubMed - indexed for MEDLINE]
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