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
Non-randomised trial OA: closed CC0 ⤵ 24 in-corpus citations
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This study investigated the efficacy of laparoscopic surgery in treating chronic pelvic pain in 100 adult women.

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Abstract

STUDY OBJECTIVE: To evaluate the effectiveness of laparoscopic surgical treatment for women with chronic pelvic pain. DESIGN: Prospective evaluation of women treated consecutively between January 1, 1989, and December 31, 1992. SETTING: A private practice. PATIENTS: One hundred women with chronic pelvic pain. INTERVENTIONS: Laparoscopic 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 RESULTS: Preoperatively, 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. CONCLUSION: Extensive 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.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Laparoscopy Laparoscopy Pelvic Pain Adolescent Adolescent Adult Adult Appendectomy Appendectomy Chronic Disease Chronic Disease Endometriosis Endometriosis Endometriosis Evaluation Studies as Topic Evaluation Studies as Topic Female Female Follow-Up Studies Follow-Up Studies

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References (100)

Cited by (20)

SciLite annotations

organisms 1
noordeloos 2009062

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License: CC0 · commercial use OK