Role of Laparoscopy in Endometriosis - A Prospective Study in a Tertiary Care Centre

Dr. Rajashree Muralidhar Thatikonda, Dr. Tushar Tatyaba Palve

Abstract: Aims and objectives of this study are the following: 1) To study the role of laparoscopy in the diagnosis and management of endometriosis. 2) To find the prevalence of endometriosis in a particular age group. 3) To assess the distribution of typical clinical features in endometriosis. Background: This is a prospective descriptive study of 50 cases of pelvic endometriosis and the role of laparoscopy in diagnosis and management at a tertiary center. Methods: This is a prospective descriptive study of 50 cases, conducted at Cama and Albless Hospital in Mumbai over 24 months from October 2022 to October 2024 regarding the role of laparoscopic surgery in diagnosing as well as treating endometriosis. Result: Out of 50 women having endometriosis-related infertility, 21 women (42%) among the age group of 26-30 years. 22 women (59.46%) were nulligravida. 7 women (14%) had a mild degree, 21 women (42%) had moderate degree endometriosis and 22 women (44%) had severe endometriosis. 22 women (44%) had endometriosis in ovarian tissue, 16 women (32%) had adhesions and 6 women (12%) had endometriotic patches. 80% of the patients received laparoscopic surgical management while 20% received medical management. 76% of the patients had increased levels of CA 125. Conclusion: All the cases of endometriosis in this study were diagnosed on laparoscopy and treated in the same setting by minimally invasive surgery, proving that it is the gold standard tool for diagnosing as well as in the treatment of endometriosis.

Keywords: endometriosis, laparoscopy, diagnosis and management, minimally invasive surgery, infertility