Transvaginal hydrolaparoscopy: a new diagnostic tool in XXXX investigation.

@entity43 @entity1 @entity249
BACKGROUND: To establish the value of a new technique called transvaginal hydrolaparoscopy for exploration of the @entity43 in the management of @entity1 with @entity249 . METHODS: A total of 120 @entity1 with primary or secondary @entity249 , and without obvious pelvic pathology, were included in the study. The first 14 @entity1 received general anesthesia and underwent transvaginal laparoscopy immediately before standard laparoscopy. The remaining 106 @entity1 had transvaginal laparoscopy performed under local anesthesia, with standard laparoscopy performed only on those with pathology, which required operative intervention. Information on pathology, complications, and successful access to the pouch of Douglas were recorded. RESULTS: The successful rate of access was 93%. Pathology was found in 29 @entity1 , of whom 15 required operative laparoscopy. Also, out of 19 @entity1 with adhesions, 11 (58%) had normal dye test bilateral, and only two (11%) had bilateral occlusion of the tubes. No complications were observed. CONCLUSION: Transvaginal hydrolaparoscopy is a safe and well-tolerated method for investigating the @entity43 in @entity249 . It is superior to hysterosalpingography for diagnosis of adhesions.
