Laparoscopic treatment of chronic pelvic pain in 100 adult women

Carter JE, James E. Carter, J E Carter
The Journal of the American Association of Gynecologic Laparoscopists · 1995 · vol. 2(3) , pp. 255–262 · doi:10.1016/s1074-3804(05)80105-7 · PMID:9050567 · W2007007667
article OA: closed CC0 ⤵ 24 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

This study investigated the efficacy of laparoscopic surgery in treating chronic pelvic pain in 100 adult women.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

Study objectiveTo evaluate the effectiveness of laparoscopic surgical treatment for women with chronic pelvic pain.DesignProspective evaluation of women treated consecutively between January 1, 1989, and December 31, 1992.SettingA private practice.PatientsOne hundred women with chronic pelvic pain.InterventionsLaparoscopic treatment was performed in all patients. Pain level was rated on a scale of 1 to 10 (1 = no pain, 10 = severe, disabling pain). Patients recorded their pain levels before and 1 month, 3 months, and 6 months after surgery, as well as at intervals of 1, 2, and 3 years after surgery.Measurements and main resultsPreoperatively, the average pain level reported by the patients was 8.2. At 1 month after laparoscopic surgical therapy, it had dropped to 3.6, at 6 months to 1.9, and at 3 years to 2.2. Twenty patients reported pain levels of 5 or greater at the 6-month interval. Six of them proceeded to hysterectomy, and four of these six were found to have adenomyosis. Eleven of the 100 who had pain levels greater than 5 after initial procedure had no further therapy, and 3 underwent repeat laparoscopy.ConclusionExtensive laparoscopic surgery to restore normal pelvic anatomy and remove all diseased tissue, including treatment of all endometriosis, resection of ovarian cysts, resection of adhesions, removal of the appendix, and treatment of hernias when indicated, together with laparoscopic uterosacral nerve vaporization or presacral neurectomy, results in significant improvement in reported pain levels.

My notes (saved in your browser only)

Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Laparoscopy Pelvic Pain Adolescent Adult Appendectomy Chronic Disease Endometriosis Endometriosis Evaluation Studies as Topic Female Follow-Up Studies Hernia, Inguinal Hernia, Inguinal Humans Hypogastric Plexus Hypogastric Plexus Hysterectomy Leiomyoma Leiomyoma Lumbosacral Plexus

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (100)

Cited by (20)

SciLite annotations

organisms 1
noordeloos 2009062

Source provenance

crossref
last seen: 2026-08-17T06:25:02.758840+00:00
europepmc
last seen: 2026-09-27T09:11:36.575535+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:11:13.665691+00:00
scilite
last seen: 2026-05-18T04:57:49.680383+00:00
unpaywall
last seen: 2026-09-29T06:34:56.587159+00:00
License: CC0 · commercial use OK