[Endometriosis in light of laparoscopic examinations]

Laparoscopic examination was made in complete general anaesthesia by intubation modified by the H. Frangeheim technique. 491 laparoscopy examinations were analysed with respect to the frequency of endometriosis in the women examined, age when it appears and the relationship between diagnosis and routine laparoscopy. The women examined were divided in two groups, the basis of the division was the frequency of primary indications for laparoscopy in clinical suspicion of endometriosis. Group I consisted of 347 laparoscopies made due to various general indications, among them endometriosis suspected in 12 cases (3.4%). In this group all cases of clinical suspecting endometriosis were laparoscopically confirmed, besides endometriosis was found in 39 patients. Group II consisted of 144 laparoscopies, where suspicion of endometriosis was in 81 patients (56.3%) with primary indication. In this group clinical suspicions were confirmed in 49 patients (60.5%), besides endometriosis was found in 5 other patients examined because of their indications for laparoscopy. In the whole material of 491 laparoscopies, endometriosis was found in 105 women (21.4%). Thus one may conclude that endometriosis is a frequent disease of female genital organs, it can appear at any age of sexual maturity (the highest frequency between 26 and 35 years of age), its diagnosing depends only on routine laparoscopy in case of clinical suspicions of the disease.