Diagnostic and therapeutic laparoscopy in the management of endometriosis

Authors

  • Sujata Swain Department of Obstetrics and Gynaecology, SCB Medical College Cuttack, Odisha, India http://orcid.org/0000-0002-9235-8952
  • Paresh Kumar Jena Department of Internal Medicine, Kalinga Hospital, Bhubaneswar, Odisha, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20184532

Keywords:

Diagnostic laparoscopy, Dysmenorrhea, Endometriosis, Infertility, Ovarian cystectomy

Abstract

Background: Endometriosis associated with a variety of symptoms, primarily produces dysmenorrhea and infertility. Three classes of techniques have been used to diagnose women with endometriosis beside the history and the clinical picture: biochemical markers, radiological imaging and laparoscopic examination of peritoneal cavity.

Methods: All 52 patients were evaluated clinically, biochemically, and radiologically and laparascopically to find out the abnormalities.

Results: Most common complaint in a patient with endometriosis is dysmenorrhea affecting 67.6% population in this study group. 20% patients presented with infertility. Diagnostic laparoscopy of the patients in the study group show ovarian endometrioma in 67.3% population. Stage II endometriosis was seen in maximum number of cases in the study group comprising 46.2% patients. Ovarian cystectomy was the most common therapeutic procedure done in 51.9% of patients, out of which 40.4% cases treated with unilateral cystectomy and rest by bilateral cystectomy.

Conclusions: This study concludes that endometriosis predominantly affects the women of reproductive age group and causes dysmenorrhea and infertility in majority of the patients. A laparoscopic finding marks as a standard tool in diagnosis and treatment of endometriosis.

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Published

2018-10-25

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Original Research Articles