NOVEL SURGICAL APPROACH TARGETING CHRONIC PELVIC PAIN WITH J-PLASMA®
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This study investigated a novel surgical approach using J-Plasma to target chronic pelvic pain, particularly in cases where no visualized pathology or occult endometriosis was present.
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Abstract
Introduction Chronic pelvic pain affects 15-20% of reproductive aged women. In a large series, the type and frequency of laparoscopic findings in women with chronic pelvic pain identified no visualized pathology 35% and the existence of endometriosis 33%, adhesions 24%, chronic pelvic inflammatory disease 5%, and ovarian cysts 3%. The large non-visualized pathology group could be partially explained by separate papers presented by Balaschi and Murphy who found that random biopsy samples of grossly normal peritoneum endometriosis patients detected disease in 11% to 25% of biopsies. Standard medical and surgical therapies targeting endometriosis lesions are not consistently effective and pain frequently recurs even without visible disease at repeat laparoscopy. One explanation of the high recurrence rate of endometriosis is the presence of occult disease.
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