Standard diagnostic laparoscopy is considered the gold standard to investigate pelvic pathologies (tubal pathology, endometriosis, and adhesions...). It gives a panoramic view of the pelvis. But the invasiveness of diagnostic laparoscopy has almost eliminated its pure diagnostic role from contemporary management of common pelvic pathologies. It consequently appears interesting to propose an endoscopy diagnostic procedure as powerful as the laparoscopy but less invasive which doesn't require general anesthesia and full operative facilities. This is the case of transvaginal hydrolaparoscopy (THL) which proved its efficiency while being as precise as standard diagnosis laparoscopy.
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