Significance of laparoscopy in the management of chronic pelvic pain

Drozgyik I, Istyván Drozgyik, Miklós Vizer, Vizer M, István Szabó, Szabó I
European journal of obstetrics, gynecology, and reproductive biology · 2006 · vol. 133(2) , pp. 223–226 · doi:10.1016/j.ejogrb.2006.05.035 · PMID:16854515 · W2169626259
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This paper examines the role of laparoscopy in diagnosing and treating chronic pelvic pain, highlighting its diagnostic accuracy and therapeutic benefits.

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Abstract

ObjectiveChronic pelvic pain is a complex disease and is far more common than generally recognized.Study designBetween 1 January 1979 and 31 December 2002 authors had performed 11,681 laparoscopic interventions. Among them, 1061 operations (9.08%) were done because of chronic pelvic pain.ResultsIn 29.5% of these cases no anatomical abnormality was found. Analysis of data of laparoscopic operations performed from 1989 to 1990 and from 1998 to 1999 revealed that complaints dated back for a significantly longer period of time in patients presenting no obvious sign of pelvic anatomical anomaly when compared with those who had positive findings. In patients with positive pelvic findings laparotomy had previously been performed in a significantly higher number. When no apparent pelvic pathology was found medical history was also negative for ectopic pregnancy. Similarly, there were only three cases of previous adnexal operations. However, among patients with positive findings, medical history revealed 19 prior cases of ectopic pregnancy, 49 cases of previous adnexal operations, 82 appendectomy, and 26 cholecystectomy (p<0.01). Among patients with positive pelvic findings, diagnostic laparoscopy was immediately completed by adequate surgical treatment in the same session in more than two-third of cases. Most frequently this included adhesiolysis, ovarian cystectomy, uterosacral nerve ablation, electrocoagulation of areas of endometriosis, and ventrosuspension of the retroflected uterus.ConclusionBased on our retrospective data analysis we believe that laparoscopy is an essential method for the diagnosis and management of chronic pelvic pain.

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Condition tags

chronic_pelvic_pain

MeSH descriptors

Laparoscopy Pelvic Pain Pelvic Pain Adolescent Adult Aged Chronic Disease Female Humans Middle Aged Pelvic Pain Retrospective Studies Treatment Outcome

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