{"paper_id":"84de0333-2795-47ee-89a9-9af8f44e6e83","body_text":"Résumé\nLe pelvis est la région de l’abdomen où la relation entre algies chroniques et lésions tissulaires est la plus difficile à établir. Environ 30 % des patientes souffrant de douleurs pelviennes chroniques ne présentent pas de pathologie démontrée. La présente étude évalue l’apport de la laparoscopie dans le bilan diagnostique des algies pelviennes chroniques, et propose une approche pluridisciplinaire du problème.\nSummary\nNowhere is the relationship between tissue damage and chronic pain so poorly understood as in the pelvis.\nAbout 30 % of patients with chronic pelvic pain have no obvious pelvic pathology at laparoscopic evaluation.\nIn this study we expose our laparoscopic findings in women affected with chronic pelvic pain and discuss the value of pathologic and normal findings in comparison with those reported in the literature.\nWe recommend a multidisciplinary approach to the problem.\nZusammenfassung\nIn der Beckenregion des Abdomens, ist die Relation zwischen chronischen Beschwerden und pathologischen Veránderungen am schwierigsten zu kláren. Ungefáhr 30 % von Patienten mit chronischen Schmerzen im Bereich des Beckens zeigen keine offensichtlichen pathologischen Veránderungen.\nDie vorliegende Studie stellt einen Beitrag zur Laparoskopie für die Diagnostik von chronischen pelvinen Beschwerden dar und prädiert für ein multidiziplináres Vorgehen.\nRiassunto\nLa pelvi è la regione dell’addome dove è più difficile mettere in relazione una sintomatologia dolorosa cronica con una lesione organica. In circa il 30 % dei pazienti affetti da doloro pelvici cronici non viene messa in evidenza nessuna alterazione. Il presente studio valuta l’apporto della laparoscopia e propone un approccio multidisciplinare nella diagnostica del dolore pelvico cronico.\nRéférences\nREITER R.C. - Chronic Pelvic Pain.Cl. Obstet. Gynecol., 1990,33, 117.\nLevitan Z., Eibschitz I., De Vries K. et al. - The value of laparoscopy in women with chronic pelvic pain and a “normal pelvis”.Int. J. Gynecol. 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Acta Endosc 22, 177–186 (1992). https://doi.org/10.1007/BF02965142\nIssue date:\nDOI: https://doi.org/10.1007/BF02965142","source_license":"CC0","license_restricted":false}