{"paper_id":"5b1af353-2892-4e40-bd55-3e36ab9eec73","body_text":"Abstract\nBackground\nDiagnostic laparoscopy is a useful tool, especially when there is no definite anatomical abnormality visible on imaging modalities. We assess the role and clinical impact of diagnostic laparoscopy in the management of women with chronic pelvic pain.\nMethods\nClinical data of 3,068 cases of diagnostic laparoscopy performed for chronic pelvic pain from June 1994 to August 2005 were analyzed. We compared the diagnoses after diagnostic laparoscopy and those after pelvic examination and imaging modalities such as ultrasound or computed tomography (CT), and we then checked the final pathologic diagnoses after operation.\nResults\nPelvic endometriosis was the most common (60.2%) laparoscopic finding in patients with chronic pelvic pain in this study, followed by normal pelvic findings (21.2%) and pelvic congestion (13.0%). Diagnostic laparoscopy had an influence on correcting previous plans based on imaging modalities in 42.7% of patients such as discarding unnecessary procedures or introducing new diagnostic or therapeutic plans. There were 3 cases of major complications requiring immediate correction.\nConclusions\nDiagnostic laparoscopy is a useful diagnostic tool for of women with chronic pelvic pain and can be used as a guideline for individualized treatment.\nSimilar content being viewed by others\nReferences\nBaskin LS, Tanagho EA (1992) Pelvic pain without pelvic organs. J Urol 147:683–686\nCampbell F, Collett BJ (1994) Chronic pelvic pain. Br J Anaesth 73:571–573\nCarter JE (1996) Diagnosis and treatment of the causes of chronic pelvic pain. J Am Assoc Gynecol Laparosc 3:S5–6\nClemons JL, Arya LA, Myers DL (2002) Diagnosing interstitial cystitis in women with chronic pelvic pain. 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Practitioner 238:352, 355–357\nYasmin H, Bombieri L, Hollingworth J (2005) What happens to women with chronic pelvic pain after a negative [normal] laparoscopy? J Obstet Gynaecol 25:283–285\nAuthor information\nAuthors and Affiliations\nCorresponding author\nRights and permissions\nAbout this article\nCite this article\nKang, SB., Chung, H.H., Lee, HP. et al. Impact of diagnostic laparoscopy on the management of chronic pelvic pain. Surg Endosc 21, 916–919 (2007). https://doi.org/10.1007/s00464-006-9047-1\nReceived:\nRevised:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s00464-006-9047-1","source_license":"CC0","license_restricted":false}