Abstract

; VIAFARA, Gloria Amparo  and  VINUEZA, Beatriz. Gynecologic laparoscopy performed on adolescents at three institutions in the city of Cali, Colombia. 1998-2003. Rev Colomb Obstet Ginecol [online]. 2004, vol.55, n.4, pp.315-320. ISSN 0034-7434.

Introduction: as no data had been collected regarding the characteristics of gynaecologic laparoscopic surgery performed on adolescents in Cali, this led to research concerning this surgical technology, followed by suggestions being made for improving it and strategies proposed for implementing its use. Materials and methods: the clinical histories of 37 adolescent females (< 20 years old) who underwent laparoscopic surgery in 3 clinics in Cali between 1998 and 2003 were studied. The data was analysed by using Epi Info 6.0 software. Results: 3,448 gynaecological laparoscopic surgeries were carried out during the period being studied; 37 (1.1%) patients were adolescents. This group’s mean age was 16. The reasons given for performing laparoscopic surgery were: pelvic pain (54.1%), dysmenorrhea (10.8%), infertility (10.8%) and pelvic mass (8.1%). Laparoscopic findings were: endometriosis (29.7%), anovulatory ovaries (16.2%) and adnexal cysts (13.5%). Unusual findings were: DIU complications, ectopic pregnancy, pelvic inflammatory disease and varicocele. Conclusion: this type of surgery, having minimal invasive impact, should be promoted for use on adolescents. We suggest that all hospitals standardise their pre-surgery, intra-operation and post-surgery clinical histories to facilitate carrying out future multi-centre prospective research.

Keywords : laparoscopy; laparoscopic surgery; adolescents; endometriosis; pelvic pain.

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