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Pros of the transvaginal pelvic endoscopy and salpingoscopy • Adjunction of salpingoscopy • Local anesthesia or conscious sedation • No scar • Safe: no pneumoperitoneum, no Trendelenburg, no risk of vessel injury. Low risk (0.25‐0.65%) of bowel injury. • Short procedure (10’) • Learning curve: 20 diagnostic, 40 with ovarian drilling • Identical diagnostic performance compared with LPS (Kappa coefficient between 0.75 and 0.92) • Possibility to see and treat: ovarian drilling, minimal endometriosis and small endometrioma, adhesiolysis Intrafimbrial Morgagni Hydatid Watrelot‐A et al, Hum Reprod 2003, Franz‐M et al, Reprod Biomed Online 2015 Distal tubal surgery (Courtesy of Dr Watrelot Centre de Recherche et d’Etude de Lyon‐FRANCE) Bridge adhesion 32 PRECONGRESS COURSE 09 I VIENNA, AUSTRIA – 23 JUNE 2019 35