[TRANSVAGINAL LAPAROSCOPY FOR PELVIC ENDOMETRIOSIS.]

Area of Science:

• Minimally Invasive Gynecologic Surgery
• Reproductive Medicine
• Diagnostic Laparoscopy

Background:

• Transvaginal laparoscopy (TVL), introduced in the 1990s, provides an alternative to conventional laparoscopy for infertility assessment.
• Unlike hysterosalpingography (HSG), TVL enables direct visualization of the tubal mucosa.
• It offers advantages such as minimal invasiveness and the absence of abdominal incisions.

Purpose of the Study:

• To evaluate transvaginal laparoscopy (TVL) as a diagnostic and potentially therapeutic tool in infertility patients.
• To compare the operative findings of TVL with conventional laparoscopy.
• To highlight the benefits and current limitations of TVL adoption.

Main Methods:

• Literature review of transvaginal laparoscopy (TVL) studies.
• Comparison of TVL accuracy against conventional laparoscopy for operative findings.
• Assessment of TVL's potential for intraoperative interventions.

Main Results:

• Transvaginal laparoscopy (TVL) demonstrates high accuracy (96.1%) compared to conventional laparoscopy in operative findings.
• The procedure allows for visualization of tubal mucosa, a feature not available with HSG.
• TVL facilitates minimally invasive interventions, including adhesiolysis, ovarian drilling, and endometrioma ablation.

Conclusions:

• Transvaginal laparoscopy (TVL) is a valuable, minimally invasive alternative for infertility evaluation and management.
• Its ability to visualize tubal mucosa and perform minor procedures offers significant advantages.
• Despite its benefits, TVL is not yet widely adopted in certain regions.