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Risk and outcome of bowel injury during transvaginal pelvic endoscopy
S Gordts1, A Watrelot, R Campo
1Leuven Institute for Fertility and Embryology, Leuven, Belgium.
Objective:
To determine the risk and outcome of bowel injury associated with new techniques of transvaginal pelvic endoscopy.
Design:
A multinational retrospective survey based on confidential, self-reported cases.
Setting:
Tertiary referral centers for infertility.
Patient(S):
Infertile patients without obvious pelvic pathology.
Intervention(S):
Transvaginal hydrolaparoscopy and fertiloscopy.
Main Outcome Measure(S):
Full-thickness bowel injury.
Result(S):
Thirty-nine responders reported a total of 24 bowel injuries (0.65%) in 3667 procedures. After initial experience, the prevalence of bowel injury was 0.25%. All of the injuries were diagnosed during the procedure. Twenty-two (92%) of the cases were managed without consequences.
Conclusion(S):
The bowel lesion caused by the new techniques of transvaginal pelvic endoscopy tends to be minor and under strict conditions can be treated expectantly.