Role of diagnostic laparoscopy in chronic pelvic pain in females: A study from tertiary care centre in Patna, Bihar

Deepak Pankaj, Nitesh Kumar, Sweta Muni, Kalpana Singh, Vibhuti Bhushan, Bipin Kumar, Nirupam, Santosh Kumar
In: Panacea Journal of Medical Sciences · 2022 · vol. 12(2) , pp. 409–413 · doi:10.18231/j.pjms.2022.077 · W4292092802
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This study evaluated diagnostic laparoscopy in 75 females with chronic pelvic pain, finding tubercular pathology and pelvic adhesions as the most common causes.

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Abstract

Introduction: Chronic pelvic pain in females is one of the most bemusing problems that are faced by doctors in day to day practice as physical signs are nonspecific. Laparoscopy is one of the worthy tools in cases of chronic pelvic pain as not only it establishes the diagnosis but often treatment can be instituted in the same sitting. The present study aimed to evaluate whether diagnostic value of laparoscopy is worth in cases with chronic pelvic pain in females.Material and Methods: This study was done in the department of General Surgery and Reproductive Medicine at Indira Gandhi Institute of Medical sciences, Patna, Bihar from July 2019 to March 2021. Seventy five female patients were included in this study. The analysis and interpretation of the data were performed using Microsoft excel. The quantitative data obtained were expressed as percentage in tabular form.Results : The studied patients were in the age group ranging from 15 – 65 years. Most patients 40 % (n=30) complaint of pain in right lower quadrant of abdomen. The most common finding during diagnostic laparoscopy was found to be tubercular pathology (22.67%) followed by pelvic adhesions (18.67%). Other diagnoses were pelvic inflammatory disease, endometriosis, cysts etc.Conclusion: Diagnostic Laparoscopy is a safe and effective tool to establish the aetiology of chronic pelvic pain and allows for appropriate interventions. It can serve as a time saving and cost effective implement for these patients with uncertain diagnosis.

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endometriosischronic_pelvic_pain

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