Diagnostic laparoscopy in pre‐surgical planning for higher stage endometriosis: Is it still relevant?

Uche A Menakaya; U. Menakaya; Luk Rombauts; Neil Johnson; Neil P Johnson

doi:10.1111/ajo.12505

Diagnostic laparoscopy in pre‐surgical planning for higher stage endometriosis: Is it still relevant?

Uche A Menakaya, U. Menakaya, Luk Rombauts, Neil Johnson, Neil P Johnson

The Australian & New Zealand journal of obstetrics & gynaecology · 2016 · vol. 56(5) , pp. 518–522 · doi:10.1111/ajo.12505 · PMID:27464602 · W2499214540

article OA: closed CC0 ⤵ 19 in-corpus citations

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This paper reviews the diagnostic imaging options for higher stage endometriosis, proposing strategies for a transition to less invasive diagnostic methods.

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Abstract

It has become necessary to re - examine the relevance of diagnostic laparoscopy in the two-stage approach to surgical management of symptomatic women with higher stage endometriosis following emerging evidence demonstrating acceptable diagnostic performance of alternative less invasive and less expensive imaging modalities. We highlight the relative merits of these presurgical diagnostic imaging modalities and propose strategies that address the challenge of transitioning to a new diagnostic paradigm in the management of symptomatic women with higher stage endometriosis.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Diagnostic Techniques, Surgical Endometriosis Endometriosis Endosonography Intestinal Diseases Intestinal Diseases Endometriosis Endometriosis Female Humans Intestinal Diseases Intestinal Diseases Laparoscopy Pelvis Pelvis Pelvis Vagina

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (48)

Cited by (19)

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License: CC0 · commercial use OK

[1] Accuracy of transvaginal ultrasound for diagnosis of deep endometriosis in the rectosigmoid: systematic review and meta‐analysis via openalex

[2] Anatomical distribution of deeply infiltrating endometriosis: surgical implications and proposition for a classification via openalex

[3] An endometriosis classification, designed to be validated via openalex

[4] Can anyone screen for deep infiltrating endometriosis with transvaginal ultrasound? via openalex

[5] Can rectal endoscopic sonography be used to predict infiltration depth in patients with deep infiltrating endometriosis of the rectum? via openalex

[6] Can transvaginal sonography predict infiltration depth in patients with deep infiltrating endometriosis of the rectum? via openalex

[7] Capacity building in endometriosis ultrasound: are we there yet? via openalex

[8] Consensus on current management of endometriosis via openalex

[9] Consensus on current management of endometriosis via openalex

[10] Deep endometriosis, including intestinal involvement – the interdisciplinary approach via openalex

[11] Diagnosis of Stage I Endometriosis: Comparing Visual Inspection to Histologic Biopsy Specimen via openalex

[12] Diagnostic accuracy of physical examination, transvaginal sonography, rectal endoscopic sonography, and magnetic resonance imaging to diagnose deep infiltrating endometriosis via openalex

[13] ESHRE guideline for the diagnosis and treatment of endometriosis via openalex

[14] Imaging modalities for the non-invasive diagnosis of endometriosis via openalex

[15] Integrating the concept of advanced gynaecological imaging for endometriosis via openalex

[16] Interobserver agreement and accuracy of non‐invasive diagnosis of endometriosis by transvaginal sonography via openalex

[17] Interpreting the real-time dynamic ‘sliding sign’ and predicting pouch of Douglas obliteration: an interobserver, intraobserver, diagnostic-accuracy and learning-curve study via openalex

[18] Is Pouch of Douglas Obliteration a Marker of Bowel Endometriosis? via openalex

[19] Laparoscopic Management of Bowel Endometriosis: Predictors of Severe Disease and Recurrence via openalex

[20] Learning curve for the detection of pouch of Douglas obliteration and deep infiltrating endometriosis of the rectum via openalex

[21] Performance of ultrasound‐based endometriosis staging system (<scp>UBESS</scp>) for predicting level of complexity of laparoscopic surgery for endometriosis via openalex

[22] Prediction of pouch of Douglas obliteration in women with suspected endometriosis using a new real-time dynamic transvaginal ultrasound technique: the sliding sign via openalex

[23] Reducing low-value care in endometriosis between limited evidence and unresolved issues: a proposal via openalex

[24] Reliability of Visual Diagnosis of Endometriosis via openalex

[25] REVIEW: Accuracy of laparoscopy in the diagnosis of endometriosis: a systematic quantitative review via openalex

[26] Revised American Society for Reproductive Medicine classification of endometriosis: 1996 via openalex

[27] <scp>OC</scp>02.06: Ultrasonographic “sliding sign” in the diagnosis of pouch of Douglas (<scp>POD</scp>) obliteration in women with clinical suspicion of endometriosis: relationship with the duration of surgery via openalex

[28] Sonography Should Be the First Imaging Examination Done to Evaluate Patients With Suspected Endometriosis via openalex

[29] Sonovaginography: redefining the concept of a “normal pelvis” on transvaginal ultrasound pre‐laparoscopic intervention for suspected endometriosis via openalex

[30] Surgical procedures and their cost estimates among women with newly diagnosed endometriosis: a US database study via openalex

[31] Systematic Evaluation of Women With Suspected Endometriosis Using a 5‐Domain Sonographically Based Approach via openalex

[32] The prediction of pouch of Douglas obliteration using offline analysis of the transvaginal ultrasound 'sliding sign' technique: inter- and intra-observer reproducibility via openalex

[33] The ‘sliding sign’ in conjunction with sonovaginography: is this the optimal approach for the diagnosis of Pouch of Douglas obliteration and posterior compartment deep infiltrating endometriosis? via openalex

[34] The Use of Modified Virtual Colonoscopy to Structure a Descriptive Imaging Classification With Implied Severity for Rectogenital and Disseminated Endometriosis via openalex

[35] Transrectal ultrasound - Techniques and outcomes in the management of intestinal endometriosis via openalex

[36] Transrectal ultrasound – Techniques and outcomes in the management of intestinal endometriosis via openalex

[37] Transvaginal ultrasonography with water-contrast in the rectum in the diagnosis of bowel endometriosis. via openalex

[38] Ultrasonographic staging: a new staging system for deep endometriosis via openalex

[39] Uterine sliding sign: a simple sonographic predictor for presence of deep infiltrating endometriosis of the rectum via openalex

[40] W1996969136 via openalex

[41] W1972123477 via openalex

[42] W2165936652 via openalex

[43] W2163315477 via openalex

[44] W1520141531 via openalex

[45] W2074915949 via openalex

[46] W2016988907 via openalex

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[48] W2291960606 via openalex