Page 164 - ESHRE2019

Accuracy of laparoscopy
The GDG recommends that clinicians perform a laparoscopy to diagnose endometriosis, although evidence is lacking that a positive laparoscopy “without histology” truly proves the presence of disease.
GPP
A negative diagnostic laparoscopy in women with symptoms and signs of the disease is highly accurate for the exclusion of the diagnosis of endometriosis.
Accuracy of laparoscopy
The GDG recommends that clinicians confirm a positive laparoscopy by histology, since positive histology confirms the diagnosis of endometriosis although negative histology does not exclude it.
GPP
However, a negative laparoscopy as well as a positive laparoscopy is highly dependent on the surgeon performing the laparoscopy!
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