Chronic Pelvic Pain, Laparoscopic Pain Mapping

In: Encyclopedia of Pain · 2006 · pp. 378–380 · doi:10.1007/978-3-540-29805-2_710 · W4234585530
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Laparoscopic pain mapping is a diagnostic procedure under local anesthesia used to identify pain sources in women with chronic pelvic pain, potentially avoiding unnecessary surgery.

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Laparoscopic pain mapping is a diagnostic procedure performed under local anesthesia with or without conscious sedation to identify specific sources of chronic pelvic pain in women. The technique aims to detect subtle or atypical disease areas that might be missed during general anesthesia and potentially avoid unnecessary surgical interventions when no treatable generators are found. However, the text notes that data confirming these potential benefits remain limited despite early suggestions of its utility. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Synonyms Conscious Laparoscopic Pain Mapping; Pain Mapping; Conscious Pain Mapping; Patient Assisted Laparoscopy; Laparoscopy (for Pain) under Local Anesthesia; Laparoscopic Pain Mapping Definition Laparoscopic pain mapping is a diagnostic laparoscopy under local anesthesia, with or without conscious sedation, performed with the goal of identifying sources or generators of pain in women with chronic pelvic pain. It has been suggested that laparoscopic pain mapping can lead to the treatment of subtle or atypical areas of disease that might have been overlooked if the procedure had been done under general anesthesia (Almeida and Val-Gallas 1997). Also, it may help to avoid surgical interventions when there are no surgically treatable pain generators present. However, there are limited data confirming these potential benefits (Demco 1997). Laparoscopy under local anesthesia is not new, but its use as a diagnostic modality to localize areas of tenderness potentially responsible for chronic... Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only References Almeida Jr OD, Val-Gallas JM (1997) Conscious pain mapping. J Am Assoc Gynecol Laparosc 4:587–590 Demco LA (1997) Effect on negative laparoscopy rate in chronic pelvic pain patients using patient assisted laparoscopy. J Soc Laparoendosc Surg 1:319–321 Demco LA (1998) Mapping the source and character of pain due to endometriosis by patient-assisted laparoscopy. J Am Assoc Gynecol Laparosc 5:241–245 Howard FM (1994) Laparoscopic evaluation and treatment of women with chronic pelvic pain. J Amer Assoc Gynecol Laparosc 1:325–31 Metha PV (1989) A total of 250,136 laparoscopic sterilizations by a single operator. Br J Obstet Gynaecol 96:1024–1034 Palter SF, Olive DL (1996) Office microlaparoscopy under local anesthesia for chronic pelvic pain. J Am Assoc Gynecol Laparosc 3:359–364 Steege JF (1998) Superior hypogastric block during microlaparoscopic pain mapping. J Am Assoc Gynecol Laparosc 5:265–267 Wesselman U (1999) A call for recognizing, legitimizing, and treating chronic visceral pain syndromes. Pain Forum 8:146–150 Zupi E, Sbracia M, Marconi D et al. (1999) Pain mapping during minilaparoscopy in infertile patients without pathology. J Am Assoc Gynecol Laparosc 6:51–54 Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2007 Springer-Verlag Berlin Heidelberg About this entry Cite this entry Howard, F. (2007). Chronic Pelvic Pain, Laparoscopic Pain Mapping. In: Schmidt, R., Willis, W. (eds) Encyclopedia of Pain. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-29805-2_710 Download citation DOI: https://doi.org/10.1007/978-3-540-29805-2_710 Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-540-43957-8 Online ISBN: 978-3-540-29805-2 eBook Packages: MedicineReference Module Medicine

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