Chronic Pelvic Pain, Laparoscopic Pain Mapping

Fred M. Howard
In: Encyclopedia of Pain · 2013 · pp. 645–647 · doi:10.1007/978-3-642-28753-4_710 · W4251200528
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Laparoscopic pain mapping, performed under local anesthesia, aims to identify chronic pelvic pain sources by localizing tender areas potentially overlooked during general anesthesia procedures.

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This encyclopedia chapter describes laparoscopic pain mapping as a diagnostic laparoscopy performed under local anesthesia (with or without conscious sedation) to identify pain generators in women with chronic pelvic pain, and it notes that doing the procedure this way may reveal subtle or atypical disease areas that could be missed under general anesthesia. It reports that the proposed benefits include enabling treatment of overlooked lesions and avoiding surgery when no surgically treatable pain sources are found, while emphasizing that there are limited data confirming these benefits. A key caveat is the chapter’s stated lack of robust evidence for the claimed outcomes, and it frames the approach as a diagnostic modality with only limited supporting studies. Relevance to endometriosis: the chapter cites mapping studies specifically addressing endometriosis using patient-assisted laparoscopy, though its main focus is broadly on laparoscopic pain mapping in chronic pelvic pain.

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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, O. D., Jr., & Val-Gallas, J. M. (1997). Conscious pain mapping. The Journal of the American Association of Gynecologic Laparoscopists, 4, 587–590. Demco, L. A. (1997). Effect on negative laparoscopy rate in chronic pelvic pain patients using patient assisted laparoscopy. The Journal Society Laparoendoscopic Surgery, 1, 319–321. Demco, L. A. (1998). Mapping the source and character of pain due to endometriosis by patient-assisted laparoscopy. The Journal of the American Association of Gynecologic Laparoscopists, 5, 241–245. Howard, F. M. (1994). Laparoscopic evaluation and treatment of women with chronic pelvic pain. The Journal of the American Association of Gynecologic Laparoscopists, 1, 325–331. Palter, S. F., & Olive, D. L. (1996). Office microlaparoscopy under local anesthesia for chronic pelvic pain. The Journal of the American Association of Gynecologic Laparoscopists, 3, 359–364. Steege, J. F. (1998). Superior hypogastric block during microlaparoscopic pain mapping. The Journal of the American Association of Gynecologic Laparoscopists, 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. The Journal of the American Association of Gynecologic Laparoscopists, 6, 51–54. Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2013 Springer-Verlag Berlin Heidelberg About this entry Cite this entry Howard, F.M. (2013). Chronic Pelvic Pain, Laparoscopic Pain Mapping. In: Gebhart, G.F., Schmidt, R.F. (eds) Encyclopedia of Pain. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-28753-4_710 Download citation DOI: https://doi.org/10.1007/978-3-642-28753-4_710 Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-642-28752-7 Online ISBN: 978-3-642-28753-4 eBook Packages: Biomedical and Life SciencesReference Module Biomedical and Life Sciences

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