Microlaparoscopy vs. conventional laparoscopy for the management of early-stage pelvic endometriosis: a comparison
Fabio Ikeda1, Diana Vanni, Alberto Vasconcelos
1Departments of Obstetrics and Gynecology and of Anesthesiology, University of São Paulo Medical School, São Paulo, Brazil. famikeda@uol.com.br
Objective:
To evaluate the advantages and disadvantages of microlaparoscopy vs. conventional laparoscopy in the management of patients with early-stage pelvic endometriosis.
Study Design:
In this prospective, randomized study we evaluated 54 patients with a clinical diagnosis of stage I and II pelvic endometriosis according to the classification of the American Society for Reproductive Medicine, revised in 1996. The patients were divided into 3 groups and underwent, respectively, microlaparoscopy under sedation, microlaparoscopy under general anesthesia and conventional laparoscopy for definitive diagnosis and treatment of the disease.
Results:
Microlaparoscopy caused less pain, required lower consumption of analgesics and permitted a faster return to daily activities. Sedation decreased the incidence of nausea, vomiting and oropharyngeal pain. Microlaparoscopy under sedation led to a shorter hospital stay and reduced cost.
Conclusion:
Microlaparoscopy under sedation is a viable alternative for the management of patients with suspected early-stage pelvic endometriosis.
