Transvaginal hydrolaparoscopy

N. Adaobi Ezedinma, John Phelps

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Transvaginal hydrolaparoscopy (THL) is being performed regularly in Europe and China, but rarely in the United States. The reasons may be physicians' unfamiliarity with the procedure and their uneasiness over potential rectal puncturing due to the proximity of the rectum to the vaginal trocar insertion site. THL has the advantage over hysterosalpingography (HSG) in that it allows for direct visualization of the tubal mucosa in addition to determining tubal patency. THL has advantages over traditional laparoscopy in that it does not require an abdominal incision and has the capability of being conducted in an outpatient office setting with local anesthesia. Studies have shown that THL has comparable accuracy to laparoscopy with 96.1% concordance between THL and laparoscopic findings. THL may be combined with chromopertubation and salpingoscopy. In addition to diagnostic purposes, THL may be used for operative intervention including adhesiolysis, endometriosis ablation, and ovarian drilling. Studies from France and China report the occurrence of rectal injury from 0% to1%. Despite the advantages of THL and low reports of rectal injury, THL has not gained popularity in the United States. The purpose of this article is to familiarize gynecologists in the United States with THL.

Original languageEnglish (US)
Pages (from-to)461-465
Number of pages5
JournalJournal of the Society of Laparoendoscopic Surgeons
Volume16
Issue number3
DOIs
StatePublished - Jul 2012

Fingerprint

Laparoscopy
China
Hysterosalpingography
Wounds and Injuries
Local Anesthesia
Endometriosis
Rectum
Surgical Instruments
France
Mucous Membrane
Outpatients
Physicians

Keywords

  • Chromopertubation
  • Hydrolaparoscopy
  • Laparoscopy
  • Transvaginal laparoscopy
  • Tubal patency

ASJC Scopus subject areas

  • Surgery

Cite this

Transvaginal hydrolaparoscopy. / Adaobi Ezedinma, N.; Phelps, John.

In: Journal of the Society of Laparoendoscopic Surgeons, Vol. 16, No. 3, 07.2012, p. 461-465.

Research output: Contribution to journalArticle

Adaobi Ezedinma, N. ; Phelps, John. / Transvaginal hydrolaparoscopy. In: Journal of the Society of Laparoendoscopic Surgeons. 2012 ; Vol. 16, No. 3. pp. 461-465.
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