A DESCRIPTIVE STUDY ON THE USE OF LAPROSCOPE IN CHRONIC PELVIS PAIN

Dr Asma Zafar Khawaja, Dr Muhammad Ishfaq, Dr Muhammad Rasim Zoraiz
2021 · doi:10.5281/zenodo.4431025 · W6912338588
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-07-14 ⓘ

This descriptive study evaluated 33 chronic pelvic pain patients via laparoscopy, finding chronic inflammatory pelvic disease in 33% and endometriosis in 27%.

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⚙ AI-generated deep summary by claude@2026-07, 2026-07-14 · read from full text ⓘ

This descriptive study evaluated laparoscopic assessment of causes of chronic pelvic pain in 271 outpatient cases at Benazir Bhutto Hospital (Jan–Jun 2020), with 33 consented patients undergoing diagnostic laparoscopy when interview response was insufficient. Patients with serious cardiopulmonary disease, peritonitis, prior abdominal operations, intestinal obstruction, and malignancy were excluded, and laparoscopic outcomes and management information were recorded. Among the 33 cases, chronic inflammatory pelvic disease was observed in 33.33% and endometriosis of different degrees was seen in 27.27%, while 12.12% had no abnormal findings; the study did not include the full cohort for laparoscopy and excluded several conditions, limiting generalizability. Relevance to endometriosis: endometriosis degrees were directly reported as a laparoscopic outcome in this chronic pelvic pain population, though the paper’s main focus is the descriptive role of laparoscopy in chronic pelvic pain evaluation rather than endometriosis specifically.

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Abstract

Objective: Laparoscopic evaluation in the chronic pelvic pain causes were the objective of our research, so to offer an appropriate treatment to the affected patients and reduce unnecessary hospital follow-up visits including reduced antibiotics use was the aim of this research. Material and Methods: The design of this study was a descriptive study. This study was carried out at Benazir Bhutto Hospital Rawalpindi and the duration of this study was from January 2020 to June 2020. Sample population of 4301 patients who visited the OPD. The research sample included OPD cases as 271 having an incidence of chronic pelvic pain. Interview was taken and investigation was made in those patients. Patients who failed to answer were treated with laparoscopy. After consent 33 cases were selected for the laparoscopy. Necessary information and investigation were carried out in the patients. Serious cases of lung and heart, peritonitis, abdominal operations, intestinal obstruction and malignancy were not made a part of the research study. We also carried out diagnostic laparoscopy in the supervision of general anesthesia and operative outcomes were also observed in the prescribed form. SPSS-11 was used for data entry and analysis. Results: In the thirty-three cases, maximum were in the age group of 31 – 41 years as 17 cases (51.52%) the ratio of multi-parous was (57.58%). Deep and dull pelvic pain was observed in 17 cases (51.52%) including sharp occasional episodes. Hospitalization in the case of acute pain cases was required in 03 patients (9.1%). Sub-fertility was complained by 11 patients (33.33%), 7 cases were of dysmenorrhea (21.21%); whereas dysfunctional bleeding was observed in 05 patients (15.15%). Only 04 patients (12.12%) registered low back ache complain in the region of lumbosacral. No complain was observed in 7 patients (21.21%). Bulky uterus was observed in 11 patients (33.33%). We left the adnexal masses in 06 patients (18.18%); whereas, 05 cases (15.15%) were having nodularity in Douglas pouch. In terms of laparoscopic outcomes 11 patients (33.33%) were observed with chronic inflammatory pelvic disease. Different endometriosis degrees were also observed in 09 patients (27.27%). No abnormality was noticed in 04 patients (12.12%). Conclusion: Our research puts force on the laparoscopy importance for the evaluation of chronic pelvic cause in the patients. This technique requires due consideration as it is very essential managerial investigation in the cases having unnecessary and repeated antibiotic use with associated avoidable drugs. Keywords: Antibiotics, psychological, Chronic pelvic pain, etiology.
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Objective

Laparoscopic evaluation in the chronic pelvic pain causes were the objective of our research, so to offer an appropriate treatment to the affected patients and reduce unnecessary hospital follow-up visits including reduced antibiotics use was the aim of this research.

Material and methods

The design of this study was a descriptive study. This study was carried out at Benazir Bhutto Hospital Rawalpindi and the duration of this study was from January 2020 to June 2020. Sample population of 4301 patients who visited the OPD. The research sample included OPD cases as 271 having an incidence of chronic pelvic pain. Interview was taken and investigation was made in those patients. Patients who failed to answer were treated with laparoscopy. After consent 33 cases were selected for the laparoscopy. Necessary information and investigation were carried out in the patients. Serious cases of lung and heart, peritonitis, abdominal operations, intestinal obstruction and malignancy were not made a part of the research study. We also carried out diagnostic laparoscopy in the supervision of general anesthesia and operative outcomes were also observed in the prescribed form. SPSS-11 was used for data entry and analysis.

Results

In the thirty-three cases, maximum were in the age group of 31 – 41 years as 17 cases (51.52%) the ratio of multi-parous was (57.58%). Deep and dull pelvic pain was observed in 17 cases (51.52%) including sharp occasional episodes. Hospitalization in the case of acute pain cases was required in 03 patients (9.1%). Sub-fertility was complained by 11 patients (33.33%), 7 cases were of dysmenorrhea (21.21%); whereas dysfunctional bleeding was observed in 05 patients (15.15%). Only 04 patients (12.12%) registered low back ache complain in the region of lumbosacral. No complain was observed in 7 patients (21.21%). Bulky uterus was observed in 11 patients (33.33%). We left the adnexal masses in 06 patients (18.18%); whereas, 05 cases (15.15%) were having nodularity in Douglas pouch. In terms of laparoscopic outcomes 11 patients (33.33%) were observed with chronic inflammatory pelvic disease. Different endometriosis degrees were also observed in 09 patients (27.27%). No abnormality was noticed in 04 patients (12.12%).

Conclusion

Our research puts force on the laparoscopy importance for the evaluation of chronic pelvic cause in the patients. This technique requires due consideration as it is very essential managerial investigation in the cases having unnecessary and repeated antibiotic use with associated avoidable drugs.

Keywords

Antibiotics, psychological, Chronic pelvic pain, etiology. Files 140.Dr Asma.pdf Files (684.8 kB) | Name | Size | Download all | |---|---|---| | md5:ac3db4f8dc226d40e75629366a88da6c | 684.8 kB | Preview Download |

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