M H Hesseling1, R L De Wilde. 1. Center for Gynecologic Minimally Invasive Surgery, Bethesda-Clinic, University of Bochum, Hainstrasse 35, D-42109 Wuppertal, Germany.
Abstract
STUDY OBJECTIVE: To estimate the laparoscopic frequency of endosalpingiosis versus other causes of peritoneal proliferation. DESIGN: Clinic-based, prospective, nonrandomized study (Canadian Task Force classification II-2). SETTING: University-affiliated hospital. PATIENTS: The 1107 consecutive women undergoing laparoscopy over 1 year. INTERVENTION: Peritoneoscopy was performed during laparoscopy. All peritoneal proliferations were excised and examined by histology. MEASUREMENTS AND MAIN RESULTS: In 7.6% of patients there was histologic evidence of endosalpingiosis. The frequency in asymptomatic women undergoing elective sterilization was 8.3%, and in infertile patients it was not significantly higher (11.7%, p = 0.6765). No significant difference was seen between patients with (7.3%) and without (7.9%) lower abdominal pain (p = 0. 7027). CONCLUSION: Endosalpingiosis is the second most common cause of peritoneal proliferation in the lower abdomen, with histologic evidence of the disorder in more than 7% of premenopausal women. In contrast to endometriosis, endosalpingiosis plays only a minor role in the evaluation of infertility and lower abdominal pain. Because of its relationship to serous ovarian neoplasms of low malignant potential, further prospective studies are urgently needed.
STUDY OBJECTIVE: To estimate the laparoscopic frequency of endosalpingiosis versus other causes of peritoneal proliferation. DESIGN: Clinic-based, prospective, nonrandomized study (Canadian Task Force classification II-2). SETTING: University-affiliated hospital. PATIENTS: The 1107 consecutive women undergoing laparoscopy over 1 year. INTERVENTION: Peritoneoscopy was performed during laparoscopy. All peritoneal proliferations were excised and examined by histology. MEASUREMENTS AND MAIN RESULTS: In 7.6% of patients there was histologic evidence of endosalpingiosis. The frequency in asymptomatic women undergoing elective sterilization was 8.3%, and in infertilepatients it was not significantly higher (11.7%, p = 0.6765). No significant difference was seen between patients with (7.3%) and without (7.9%) lower abdominal pain (p = 0. 7027). CONCLUSION:Endosalpingiosis is the second most common cause of peritoneal proliferation in the lower abdomen, with histologic evidence of the disorder in more than 7% of premenopausal women. In contrast to endometriosis, endosalpingiosis plays only a minor role in the evaluation of infertility and lower abdominal pain. Because of its relationship to serous ovarian neoplasms of low malignant potential, further prospective studies are urgently needed.
Authors: Jan Sunde; Morgan Wasickanin; Tiffany A Katz; Emily L Wickersham; D O Emilie Steed; Novae Simper Journal: PLoS One Date: 2020-05-13 Impact factor: 3.240