Gordts Stephan, Campo Rudi, Brosens Ivo
Leuven Institute for Fertility and Embryology, Tiensevest 168, 3000 Leuven, Belgium.
Reprod Biomed Online. 2002;4 Suppl 3:72-5. doi: 10.1016/s1472-6483(12)60121-7.
The transvaginal approach to tubo-ovarian surgery allows easy and direct access to the tubo-ovarian structures and the fossa ovarica without additional manipulation. In the absence of a panoramic view, the proximity of the tubo-ovarian structures allows operative procedures for treatment of superficial and cystic ovarian endometriosis, drilling of the ovarian capsule, adhesiolysis and salpingostomy. Operative procedures were performed in 78 patients. No conversion to standard laparoscopy was necessary, and no complications occurred. All procedures were carried out on an ambulatory basis with a very low morbidity.
