Minimally invasive surgery in pelvic pain: from a gynecological perspective

Abstract: This review on the minimally invasive surgical management of chronic pelvic pain (CPP) was constructed from a synthesis of our experience and the literature. Following a description of CPP and its causes, a general introduction to minimal invasive approaches applied in the treatment of CPP from a gynecological perspective was given. Then the surgical management of several most important pelvic pathologies causing CPP was explained in detail. Not only gynecological, but also pelvic neurological pathologies were discussed in this review. A neuropelveological approach to CPP was also included. An extensive literature research was conducted by the authors and chosen studies were included based on strength and relevance. Due to its multifactorial etiology, CPP has been a challenging subject for clinicians. Because of the dynamic nature of surgical innovations especially in the field of minimal invasive surgery, a variety of techniques have been developed and tested in the treatment of CPP and we tried to cover the most important ones. We aimed to reflect the advantages and disadvantages of the surgical management of CPP according to different etiologies and also according to the application of different surgical techniques such as the use of the robotic platform. An emphasis was given to the importance of a multidisciplinary approach.