Use of laparoscopy in the diagnosis and treatment of chronic pelvic pain in women

Use of laparoscopy in the diagnosis and treatment of chronic pelvic pain in women DOI: https://doi.org/10.70164/ihsr.v1i3.28Keywords: Laparoscopy; pelvic pain; gynecological practice.Abstract Chronic pelvic pain in women is a recurring clinical challenge in gynecological practice, characterized by persistent symptoms whose origin is often unclear using conventional diagnostic methods. Given this scenario, this study aimed to gather up-to-date evidence on the use of laparoscopy as a complementary tool in the diagnosis and treatment of these cases, with an emphasis on its clinical applicability. The literature review was conducted between June and July 2025, with consultations in the PubMed, BVS, and SciELO databases. A structured search strategy was used using controlled descriptors and Boolean operators, selecting publications published between 2013 and 2025 that addressed laparoscopy in the context of chronic pelvic pain in women. Inclusion criteria prioritized studies with a clinical or surgical approach, using different methodological designs. Data analysis indicated that videolaparoscopy has contributed significantly to the detection of alterations not visualized by imaging, such as adhesions, endometriosis, and pelvic inflammatory processes. In addition to its diagnostic value, the procedure allows for immediate intervention, with positive effects on pain relief and functional recovery. It is concluded that laparoscopy represents a strategic approach in selected cases of chronic pelvic pain, and its indication should be based on clear clinical criteria, combining therapeutic efficacy with diagnostic accuracy in a single, minimally invasive procedure. References Aguiar, D. P. et al. Prevalence of chronic pain in Brazil: systematic review. Brazilian Journal Of Pain, 2021. Allaire, C. et al. Guideline No. 445: Management of Chronic Pelvic Pain. JOGC/Journal of Obstetrics and Gynaecology Canada, v. 46, n. 1, p. 102283–102283, 1 jan. 2024. Godoi, J. E. DE et al. Chronic pelvic pain portraits: perceptions and beliefs of 80 women. Brazilian Journal Of Pain, v. 2, n. 1, 2019. Hutton, D. et al. The burden of Chronic Pelvic Pain (CPP): Costs and quality of life of women and men with CPP treated in outpatient referral centers. PloS One, v. 18, n. 2, p. e0269828, 2023. Jesus, L. M. DE et al. Dor pélvica crônica em mulheres: o caminho para a alta ambulatorial. Acta Paulista de Enfermagem, v. 37, p. eAPE02882, 4 mar. 2024. Regina, T. et al. Dor pélvica crônica não visceral: tratamento multidisciplinar. Relato de caso. Rev. Dor, p. 231–233, 2025. Souza, A. et al. Analysis of 230 women with chronic pelvic pain assisted at a public hospital. Revista Dor, v. 15, n. 3, 1 set. 2014. Speer, L. M.; Mushkbar, S.; Erbele, T. Chronic Pelvic Pain in Women. American Family Physician, v. 93, n. 5, p. 380–387, mar. 2016. Steele, L. A. et al. When you see nothing at all: Outcomes following a negative laparoscopy. A systematic review. Australian and New Zealand Journal of Obstetrics and Gynaecology, 22 set. 2023. Till, S. R.; As-Sanie, S.; Schrepf, A. Psychology of Chronic Pelvic Pain. Clinical Obstetrics and Gynecology, v. 62, n. 1, p. 22–36, mar. 2019. Togni, R.; Benetti-Pinto, C. L.; Yela, D. A. The role of diagnostic laparoscopy in gynecology. Sao Paulo Medical Journal = Revista Paulista De Medicina, v. 134, n. 1, p. 70–73, 1 jan. 2016. Wang, X. et al. Non-pharmacological therapies for treating chronic pelvic pain in women: A review. Medicine, v. 101, n. 49, p. e31932, 9 dez. 2022.