The threshold for laparoscopy for pelvic pain
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Laparoscopy for pelvic pain is justified in acute cases, but for chronic pain, individual risk-benefit assessment is required before proceeding.
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Abstract
Detailed history and examination are crucial. Laparoscopy is readily justifiable in acute pain. In chronic pelvic pain, the possible benefits and risks associated with laparoscopy need to be assessed for each woman individually. Learning objectives: To outline gynaecological and non‐gynaecological reasons for pelvic pain. To evaluate methods of diagnosis. To determine the likelihood of laparoscopy being effective in diagnosis and treatment, and the associated risks in each individual case. Ethical issues: The risks of unnecessary and unhelpful surgery should be balanced against the risks associated with delay and possible misdiagnosis. Please cite this article as: Laborda E, Clarke A, Carpenter T. The threshold for laparoscopy for pelvic pain. The Obstetrician & Gynaecologist 2010;12:7–12.
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Cited by (7)
- Chronic Pelvic Pain: a Neuropsychiatric View of the Gynecological Problem 2023
- Laparoscopic Surgery in the Evaluation of Acute Pelvic Pain 2023
- Diagnostic laparoscopy findings in pelvic pain among the women attending Gynecology OPD at Dhulikhel Hospital 2022
- Laparoscopic Outcomes after Normal Clinical and Ultrasound Findings in Young Women with Chronic Pelvic Pain: A Cross-Sectional Study 2020
- Assessment and management of chronic pelvic pain 2013
- How can we reduce negative laparoscopies for pelvic pain? 2011
- The threshold for laparoscopy for pelvic pain 2010
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