The Medical journal of Australia
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In October, 1978, the Hemoccult II Test was introduced as a screening procedure by the Sydney Hospital Heath Information and Screening Service. In the first two years, 4498 people were screened and 150 positive results were obtained. ⋯ Forty-four patients were found to have 59 colorectal neoplasms of which 13 were carcinomas. This represents a cancer incidence of 0.29% and corroborates the results of similar studies conducted overseas.
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Laparoscopy is valuable in the definitive diagnosis of pelvic pain of uncertain aetiology. A clinical diagnosis of pelvic pain was made in 67 patients, but was confirmed by laparoscopy in only 34. In 36 patients in whom a clinical diagnosis of ectopic pregnancy had been made this was confirmed at laparoscopy in 21, while six of 26 positive laparoscopic diagnoses of ectopic pregnancy were unsuspected clinically. ⋯ Of 30 patients in whom a preoperative clinical diagnosis had not been made, laparoscopy showed normal pelvic viscera in 12. Similarly, in another eight of the 68 patients thought to have organic pelvic pathology on clinical grounds, the laparoscopic findings were normal. Apart from establishing a definitive diagnosis, laparoscopy has been found to be a safe procedure, and one of considerable cost effectiveness in terms of hospital stay.