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- W2069268462 abstract "Objective: To evaluate the diagnostic accuracy of visual inspection of the peritoneum for endometriotic deposits by excision biopsy of all recognised endometriotic lesions. Design: 62 patients with chronic pelvic pain underwent laparoscopy with excision biopsy of all suspected endometriotic lesions. Materials/Methods: As above. Results: 150 biopsies (1–6 per patient) were obtained. Three were unsuitable for histological evaluation and were excluded. 43 patients (73%) had histological confirmation of endometriosis in all or some biopsies. 14 patients (24%) showed no evidence of endometriosis and two patients (3%) showed endosalpingiosis only. Anatomical sites of pelvic peritoneal disease were the utero-sacral ligaments, the Pouch of Douglas, the medial broad ligaments, intestinal serosa and the ovarian fossae. Conclusions: The diagnosis of pelvic endometriosis in patients with chronic pelvic pain should be supported by excision biopsy and histological assessment, as the laparoscopic diagnosis is not always accurate. This would direct the clinical to the possible aetiology of the chronic pelvic pain and is of great value in counselling and planning future management for the patients. References 1. Redwine DB. Age-related evolution in colour appearance of endometriosis. Fertility and Sterility 1987;47:173–5. 2. Parsons LH, Stovall TG. Surgical management of chronic pelvic pain. Obstetrics and Gynecology Clinics of North America 1993;20:765–78. Supported By: No support." @default.
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- W2069268462 date "2002-02-01" @default.
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- W2069268462 title "Importance of histological diagnosis in women with chronic pelvic pain and laparoscopic evidence of endometriosis" @default.
- W2069268462 doi "https://doi.org/10.1016/s0015-0282(01)03175-2" @default.
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