Periódicos Brasileiros em Medicina Veterinária e Zootecnia

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)

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