Shafik A
Department of Surgery, Faculty of Medicine, Cairo University, Egypt.
Gynecol Obstet Invest. 1990;30(3):159-61. doi: 10.1159/000293251.
Inguinal pelviscopy is a new approach for examining structures in the extra- and intraperitoneal pelvic cavity. The total number of patients studied was 70. The method was used to visualize and take biopsies from masses in the presacral area (3 patients) and in the ovaries (8 patients). Ovarian biopsies were taken from 26 patients (14 with primary amenorrhea and 12 with elevated follicle-stimulating hormone), and ovarian cyst aspiration and biopsy were performed in 12 patients. Tubal sterilization was done in 18 cases and lysis of pelvic adhesions in 3 infertile patients. The procedure comprises entry of the extraperitoneal pelvic cavity through the inguinal canal. Intraperitoneal pelvic cavity examination can also be done by piercing the peritoneum at the deep inguinal ring or close to the fallopian tube. No complications were encountered except urinary retention in 1 patient with presacral tumor and abdominal wall hematoma in another patient. The approach is safe, direct and easy. It is performed on an outpatient basis.
腹股沟盆腔镜检查是一种用于检查腹膜外和腹膜内盆腔结构的新方法。研究的患者总数为70例。该方法用于观察骶前区（3例患者）和卵巢（8例患者）的肿物并进行活检。对26例患者进行了卵巢活检（14例原发性闭经患者和12例促卵泡生成素升高患者），并对12例患者进行了卵巢囊肿穿刺和活检。18例患者进行了输卵管绝育术，3例不孕患者进行了盆腔粘连松解术。该操作包括通过腹股沟管进入腹膜外盆腔。也可通过在腹股沟深环处或靠近输卵管处穿刺腹膜来检查腹膜内盆腔。除1例骶前肿瘤患者出现尿潴留和另1例患者出现腹壁血肿外，未发生其他并发症。该方法安全、直接且简便。可在门诊进行。
