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Endosalpingiosis in laparoscopy
1Center for Gynecologic Minimally Invasive Surgery, Bethesda-Clinic, University of Bochum, Hainstrasse 35, D-42109 Wuppertal, Germany.
Study Objective:
To estimate the laparoscopic frequency of endosalpingiosis versus other causes of peritoneal proliferation.
Design:
Clinic-based, prospective, nonrandomized study (Canadian Task Force classification II-2).
Setting:
University-affiliated hospital.
Patients:
The 1107 consecutive women undergoing laparoscopy over 1 year.
Intervention:
Peritoneoscopy was performed during laparoscopy. All peritoneal proliferations were excised and examined by histology.
Measurements And Main Results:
In 7.6% of patients there was histologic evidence of endosalpingiosis. The frequency in asymptomatic women undergoing elective sterilization was 8.3%, and in infertile patients it was not significantly higher (11.7%, p = 0.6765). No significant difference was seen between patients with (7.3%) and without (7.9%) lower abdominal pain (p = 0. 7027).
Conclusion:
Endosalpingiosis is the second most common cause of peritoneal proliferation in the lower abdomen, with histologic evidence of the disorder in more than 7% of premenopausal women. In contrast to endometriosis, endosalpingiosis plays only a minor role in the evaluation of infertility and lower abdominal pain. Because of its relationship to serous ovarian neoplasms of low malignant potential, further prospective studies are urgently needed.