Surgical management of chronic pelvic pain

This review discusses the role of surgery in managing chronic pelvic pain in women, focusing on how laparoscopic assessment fits into evaluation and treatment. It states that laparoscopy is the only test capable of diagnosing peritoneal endometriosis and pelvic adhesions, and argues that when disease severity warrants, diagnosis and surgical removal can be performed during the same laparoscopy. The paper’s key emphasis is on expending maximal surgical effort to resect all endometriosis, restore normal pelvic anatomy, resect nerve fibres, and treat surgically accessible disease. It frames management as requiring a therapeutic, supportive, and sympathetic approach, but as a review it does not provide new empirical data or quantified outcomes. This paper is centrally about endometriosis — it emphasizes laparoscopy as the diagnostic method for peritoneal endometriosis and highlights surgical resection of endometriosis as a management goal within chronic pelvic pain.

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