Identification of clear vesicular lesions of atypical endometriosis: a new technique

Objective: To describe a new technique for improvement of visualization and identification of clear vesicles of endometriosis. Design: A new descriptive technique. Setting: Tertiary care center. Patient(s): Adolescent and adult women with pelvic pain undergoing laparoscopic evaluation. Intervention(s): The pelvis is filled with irrigation fluid, and then the laparoscope is submerged, with evaluation of the pelvic peritoneum through the liquid medium. Main Outcome Measure(s): Identification of clear lesions of endometriosis. Result(s): Laparoscopic visualization of clear lesions of atypical endometriosis can be facilitated with the use of Liquid introduced into the pelvis in order to identify and appreciate the three-dimensional configuration of lesions and to exclude light reflection as a possible etiology. Conclusion(s): This method is suggested for identification of subtle lesions of endometriosis, which will aid in the establishment of the definitive diagnosis for adolescents and adults with chronic pelvic pain and will decrease the number of cases of unrecognized atypical endometriosis. (C) 1997 by American Society for Reproductive Medicine.