Standardization of Laparoscopic Pelvic Examination : A Proposal of a Novel System
Joint Authors
Liu, James
Mahajan, Sangeeta
Zanotti, Kristin
Henry, Drisana
Hurd, William
Falcone, Tommaso
Bedaiwy, Mohamed A.
Pope, Rachel
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-12-30
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Objective.
Laparoscopic pelvic assessment is often performed in a nonstandardized fashion depending on the surgeon’s discretion.
Reporting anatomic findings is inconsistent and lesions in atypical locations may be missed.
We propose a method for systematic pelvic assessment based on anatomical landmarks.
Design.
Retrospective analysis.
Setting.
Tertiary care academic medical center.
Intervention.
We applied this system to operative reports of 540 patients who underwent diagnostic or operative laparoscopy for unexplained infertility between 2006 and 2012.
The pelvis was divided into 2 midline zones (zone I and II) and right and left lateral zones (zone III and IV).
All reports were evaluated for the comprehensiveness of description with respect to normal findings or pathology for each zone.
Results.
Of 540 surgeries, all reports commented on the uterus, tubes, and ovaries (100%), but only 17% (n=93, 95% CI: 13.8–20.2) commented on the dome of the bladder and the anterior cul-de-sac.
24% (n=130, 95% CI: 20.4–27.6) commented on the posterior cul-de-sac, and 5% (n=29, 95% CI: 3.2–6.8) commented on the pelvic sidewall.
Overall, 6% (n=34, 95% CI: 4–8) reported near complete documentation of the pelvic zones.
Conclusion.
Implementation of a systematic approach for laparoscopic pelvic examination will enhance the diagnostic accuracy and provide better communication between care providers.
In the absence of pelvic pathology, we recommend a minimum of 6 photographs of the 6 pelvic zones.
American Psychological Association (APA)
Bedaiwy, Mohamed A.& Pope, Rachel& Henry, Drisana& Zanotti, Kristin& Mahajan, Sangeeta& Hurd, William…[et al.]. 2013. Standardization of Laparoscopic Pelvic Examination : A Proposal of a Novel System. Minimally Invasive Surgery،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-450040
Modern Language Association (MLA)
Bedaiwy, Mohamed A.…[et al.]. Standardization of Laparoscopic Pelvic Examination : A Proposal of a Novel System. Minimally Invasive Surgery No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-450040
American Medical Association (AMA)
Bedaiwy, Mohamed A.& Pope, Rachel& Henry, Drisana& Zanotti, Kristin& Mahajan, Sangeeta& Hurd, William…[et al.]. Standardization of Laparoscopic Pelvic Examination : A Proposal of a Novel System. Minimally Invasive Surgery. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-450040
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-450040