Sonographic and laparoscopic findings in women presenting with chronic pelvic pain

AmanyA Ibrahim, HasanS Kamel, AhmedM Abu-Elhassan, MahmoudA Abdel-Aleem
In: Journal of Current Medical Research and Practice · 2017 · vol. 2(3) , pp. 186 · doi:10.4103/jcmrp.jcmrp_70_17 · W2809517604
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Transvaginal ultrasound with soft markers improved diagnostic accuracy for chronic pelvic pain etiology compared to laparoscopy, detecting 80% of pathological lesions.

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This prospective cohort study evaluated the practicality and safety of applying the Critical View of Safety during laparoscopic cholecystectomy. The research included 100 patients who underwent the procedure at Assiut University Hospital and Assiut Police Hospital between 2018 and 2021. Results indicated that only one patient experienced bleeding and another had a bile leak, with no instances of liver or visceral damage observed. The authors concluded that utilizing this specific visual confirmation method significantly aids in preventing ductal harm and associated complications. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

ObjectiveThe aim of this study was to assess the value of transvaginal ultrasound (TVS) examination in predicting the etiological factors of chronic pelvic pain (CPP) in comparison with laparoscopic findings.Patients and methodsThis is a prospective observational study. This study was conducted in Women Health Hospital, Assuit University. A total of 40 patients, 20 with CPP and 20 seeking for fertility as a control group, undergoing TVS before diagnostic laparoscopy were included in the study. TVS examination was performed. Ultrasound hard markers were documented (anatomical abnormalities – e.g. endometrioma or hydrosalpinx). The woman was then assessed for the presence or absence of ultrasound soft markers (reduced ovarian mobility, site-specific pelvic tenderness, and the presence of loculated peritoneal fluid in the pelvis). Then diagnostic laparoscopy was performed. Assessment of the value of TVS in predicting the etiological factors of CPP in comparison with laparoscopic findings was the main outcome measure.ResultsLaparoscopy diagnosed pathological lesions in 18 (90%) CPP patients, of whom 10 (55.5%) patients had endometriosis, 10 (55.5%) had pelvic adhesions, 1 (5.5%) had ovarian cyst, 3 (16.6%) had tubal block, and 1 (5.5%) had subserous fibroids. The diagnostic accuracy of ultrasound hard marker examination of CPP was 30%, which increased to 80% by the addition of ultrasound soft marker examination.ConclusionInclusion of site-specific pelvic tenderness, ovarian mobility, and the presence of loculated peritoneal fluid in the pelvis as indirect ultrasound-based markers of pelvic pathology improved diagnostic accuracy of TVS and hence improved the detection and exclusion of significant pathology in women with CPP and may lead to a reduction in the number of unnecessary laparoscopies carried out on women with CPP.
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Background

The reported frequency of biliary injuries has tripled to 0.4% since the advent and widespread usage of laparoscopic cholecystectomy in the 1990s. The goal of this study: in terms of practicality and safety, is to evaluate the effectiveness of a critical perspective on safety during laparoscopic cholecystectomy. Patients and Methods This prospective cohort research included 100 patients who received laparoscopic cholecystectomy between 2018 and 2021 at Assiut University Hospital and Assiut Police Hospital.

Results

According to the data, just one individual out of 100 suffered from bleeding, another from a bile leak, and no one suffered from liver or viscus damage.

Conclusion

The most secure approach to comprehend the triangle’s design is from the vital aspect of safety, and understanding so significantly aids in the prevention of ductal harm. Significant bile duct damage and accompanying complications may be avoided by employing Critical View of Safety in clinical practice.

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Condition tags

endometriosisendometriomachronic_pelvic_pain

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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