How and where to expect endosalpingiosis intraoperatively
Laurin Burla1, Dimitrios Rafail Kalaitzopoulos1, Anna Mrozek1
1Department of Gynecology and Obstetrics, District Hospital of Schaffhausen, Schaffhausen, Switzerland.
Fertility and Sterility
|January 6, 2022
Summary
This study describes endosalpingiosis distribution and appearance during surgery. Most cases occurred in the pelvis, with less dramatic appearances than previously reported, highlighting the need for surgeon awareness.
Area of Science:
- Gynecologic pathology
- Surgical anatomy
- Oncology
Background:
- Endosalpingiosis, a condition affecting the fallopian tubes, requires better understanding of its anatomical distribution and intraoperative characteristics.
- Previous literature often describes dramatic presentations, necessitating a review of typical findings.
Purpose of the Study:
- To detail the anatomical distribution of endosalpingiosis.
- To describe the intraoperative morphology (macroscopic phenotype) of endosalpingiosis.
- To analyze associated clinical characteristics and comorbidities.
Main Methods:
- Retrospective observational video study analyzing data from 77 patients with confirmed endosalpingiosis (2007-2020).
- Two independent reviewers assessed anatomical distribution and intraoperative videos.
- Demographic, clinical, and associated disease data were collected.
Main Results:
- Endosalpingiosis was predominantly located in the pelvis in the majority of patients.
- Associated conditions included endometriosis (53.2%) and various gynecologic malignancies (28.6%).
- Intraoperative phenotypes were generally less pronounced than those described in prior literature.
Conclusions:
- Endosalpingiosis is primarily a pelvic condition with varied, often subtle, intraoperative appearances.
- The association with gynecologic tumors aligns with previous findings.
- Enhanced awareness among laparoscopists is crucial for accurate diagnosis and further research into its role as a malignancy risk factor.
