Inguinal Pelviscopy in the Examination of Pelvic Organs: Further Study

Abstract

Inguinal pelviscopy is a new approach for examining structures in the extraperitoneal and intraperitoneal pelvic cavity. The total number of patients studied was 84. The technique was used to examine and take biopsies from masses in the presacral area (6 patients), right (8) and left (3) iliac fossa, and ovaries (8 patients). Ovarian biopsies were taken from 26 patients (14 with primary amenorrhea and 12 with elevated serum FSH levels), 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 consists of entry of the extraperitoneal pelvic cavity or the iliac fossa and loin 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 falloppian tube. No complications were encountered except urinary retention in one patient with presacrai tumor and abdominal wall hematoma in another patient. Right iliac fossa hematoma occurred in two patients. None of the complications warranted laparotomy. The approach is safe, direct, and easy. It is performed on an outpatient basis.