Laparoscopy is simple, and safe procedure to evaluate clinical diagnosis under direct vision, to avoid, unnecessary operation and used to assess the pelvic abnormalities and infertility.
One hundreds and eighteen cases who underwent diagnostic laparoscopy from January, 1980 to December, 1986 were analyzed clinically_
The results of the study are as follows:
1) Clinical indications for diagnostic laparoscopy were suspicious ectopic pregnancy (44.996), infertility (23.89o), obscure pelvic mass (11.9%), amenorrhea (10.296) and pelvic pain (4.2%).
2) The acurracy of clinical diagnosis confirmed by-laparoscopy was 72.0%.
3) Abnormal laparoscopic findings were demonstrated in 82.29o´ of 28 infertility cases
which included 2.5% (7 cases) of unilateral tubal obstruction, 14.3% (4 cases) of unilateral hydrosalpinx, 17.8% (5 cases) of polycystic ovaries and other abnormal finding cases.
Agreement between hysterosalpingography and laparoscopic findings were observed in 549o´ of the cases.
4) In 75.5% of clinically suspicious ectopic pregnancy cases, ectopic pregnancy was confirmed by laparoscopy, and other cases were found to be ruptured corpus luteum (11.3%), normal _pelvic organ (5.69o), regurgitation of menstrual blood (3.8%), torsion of ovarian cyst (1.9%) and pyosalpinx (1.97o).
13.2% of the suspicious ectopic pregnancy cases could avoid unnecessary operation with the use of laparoscope.
5) Identical diagnoses on clinical impression and laparoscopy were found in 63.6% of ovarian cyst cases, 100% of myoma uteri, pelvic abscess, and endometriosis cases, respectively, ` 509o´ of pelvic inflammatory disease cases, and 33.3% of uterine perforation cases.
One case of ectopic pregnancy was found during the laparoscopic sterilization. -
Laparoscopic evaluation of 8 cases of primary amenorrhea showed 50% (4 cases) of no ovaries or streak ovaries, 25% (2 cases) of Mullerian dysgenesis, 12.5% (1 case) of male hermaphroditism, and 12.5% (1 case) of ovarian tumor.
Polycystic ovaries were found in 5076 (2 cases) of 4 secondary amenorrhea cases and other cases showed abs snce of one ovary and normal pelvic organ.
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