engleski

The diagnostic accuracy of a 1, 2 mm minilaparoscope

Objective: To evaluate the diagnostic suitability of a fibreoptic minilaparoscope with a diameter of 1, 2 mm. Design: Laparoscopy was performed under general anesthesia, first with a 1, 2 mm minilaparoscope, and then immediately with a conventional 10mm laparoscope. The findings obtained by minilaparoscope were compared with those obtained by conventional laparoscopy. Setting: Two university based hospitals. Subjects: These was 20 patients, whose ages ranged from 16 to 40 years and body weight from 52 to 115 kg. Laparoscopy was performed because of infertilty (13 patients), chronic pelvic pain(2), suspected ectopic pregnancy(2), sterilization(1) and for laparoscopic surveillance during operative hysteroscopy(2). Results: The visualisation of pelvic organs with the minilaparoscope was acceptable, although the size of the video image was smaller when compared with that from a 10mm laparoscope. Pelvic findings obtained by minilaparoscope coincided with those on conventional laparoscopy in 17 patients. Small endometriotic implants in the anterior cul-de-sac, as well as white fibrotic endometriotic plaques in the pouch of Douglas, were misinterpreted in three patients. Adhesions, distal tubal occlusions, small fibroids, hydatid cysts and tubal pregnancies were correctly diagnosed by minilaparoscope. No complications occured in any of the 20 patients. Conclusion: The 1, 2 mm fibreoptic telescope, introduced through the Verses needle, my be useful for diagnostic procedures.

diagnostic minilaparoscopy; infertility

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