Role of diagnostic laparoscopy in women with chronic pelvic pain

Chronic pelvic pain, diagnostic accuracy, endometriosis, pelvic adhesionsAbstract

and Aim: Chronic pelvic pain can be diagnosed and treated with laparoscopy, which can reveal findings that cannot be detected clinically. There are many health related issues associated with chronic pelvic pain, and it negatively impacts overall health and ability to work. An assessment of diagnostic laparoscopy's role in chronic pelvic pain women was the purpose of the present study. Patients and Methods: This cross-sectional study was carried out on 98 women (16-45 years) present with chronic pelvic pain attended the Gynecology and Obstetrics Department of Khyber Teaching Hospital, Peshawar from June 2020 to June 2021. Study protocol was approved by institute research and ethical committee. Women with chronic pelvic pain (>6 months) without obvious pathological findings based on ultrasound and clinical examination were enrolled. Clinical findings, laparoscopic data, and ultrasound examination of each individual was recorded. SPSS version 28 was used for data analysis. Results: The overall mean age was 26.34±4.6 years. Age-wise distribution of women was as follows: 8 (8.2%) in 16-25 years, 48 (49%) in 26-35 years, and 42 (42.8%) in 36-45 years. Majority of women (92.6%) were married. About 9 (9.2%) women underwent previous surgery. Downloads

Bhatia P, Gupta P, Mor D. Role of diagnostic laparoscopy in chronic pelvic pain. Int J Reprod Contracept Obstet Gynecol 2016;5:1152-7. Agrawal M, Kolli SN. Role of laparoscopy in the diagnosis of chronic pelvic pain. Journal of Datta Meghe Institute of Medical Sciences University. 2019 Oct 1;14(4):310. Dissanayake DM, Jayarathna I. The role of laparoscopy in gynaecological practice for diagnosis of stump appendicitis as a rare cause of chronic pelvic pain. Sri Lanka Journal of Obstetrics and Gynaecology. 2021 Nov 25;43(3). Yeola ME, Gode D, Bora AK. Diagnostic Laparoscopy as an Effective Tool in Evaluation of Intra-Abdominal Malignancies. World J Laparosc Surg 2018;11:68-75. Available from: https://doi.org/10.5005/jp-journals-10033-1338. Swarnkar M, Pandey P. Heterotopic Subserosal Pancreatic Tissue in Jejunum. Formos J Surg 2018;51:167-70. Available from: https://doi.org/10.4103/fjs.fjs_88_17. Jagati A, Chaudhary R, Rathod S, Madke B, Baxi K, Kasundra D. Preparation of Platelet-Rich Fibrin Membrane over Scaffold of Collagen Sheet, Its Advantages over Compression Method: A Novel and Simple Technique. J Cutan Aesthet Surg 2019;12:174-8. Available from:https://doi.org/10.4103/2543-1854.267617. Ball E, Khan KS. Recent advances in understanding and managing chronic pelvic pain in women with special consideration to endometriosis. F1000 Research. 2020; 9. Rosenbaum AJ, Maine RG. Improving Access to Laparoscopy in Low-Resource Settings. Annals of Global Health. 2019; 85(1). Nar AS, Bawa A, Mishra A, Mittal A. Role of diagnostic laparoscopy in chronic abdominal conditions with uncertain diagnosis. Nigerian Journal of Surgery. 2014; 20(2): 75-8. Argentino GLS, Bueloni-Dias FN, Leite NJ, Peres GF, Elias LV, Bortolani VC, et al. The role of laparoscopy in the propaedeutics of gynecological diagnosis. Acta cirurgica brasileira. 2019; 34(1). Burbano D, García AF, Yantén JC, Salazar C, Toro JS, Bravo JC. Stump appendicitis, a case report and a review of the literature. Is it as uncommon as it is thought? International Journal of Surgery Case Reports. 2020; 68: 88-91. Yadav A, Tamrakar SR. Diagnostic laparoscopy findings in pelvic pain among the women attending Gynecology OPD at Dhulikhel Hospital. Nepal Journal of Obstetrics and Gynaecology. 2021;16(2):79-84. Tebache L, Brichant G, Paquet C, Goffin F, Delbecque K, Nisolle M. Incidental primary peritoneal serous borderline tumor miming endometriosis during laparoscopy for chronic pelvic pain. Archives of Obstetrics and Gynecology. 2020;1(2). Brichant G, Denef M, Tebache L, Poismans G, Pinzauti S, et al. Chronic pelvic pain and the role of exploratory laparoscopy as diagnostic and therapeutic tool: a retrospective observational study. 2018; 13. Arnaoutoglou C, Variawa RS, Zarogoulidis P, Ioannidis A, Machairiotis N. Advances of Laparoscopy for the Diagnosis of Pelvic Congestion Syndrome. Medicina. 2021 Sep 30;57(10):1041. Lopez, A.J. Female pelvic vein embolization: Indications, techniques, and outcomes. Cardiovasc. Interv. Radiol. 2015, 38, 806–820. Champaneria, R.; Shah, L.; Moss, J.; Gupta, J.K.; Birch, J.; Middleton, L.J.; Daniels, J.P. The relationship between pelvic vein incompetence and chronic pelvic pain in women: Systematic reviews of diagnosis and treatment effectiveness. Health Technol. Assess. 2016, 20, 1–108. Gloviczki, P. Handbook of Venous and Lymphatic Disorders: Guidelines of the American Venous Forum; CRC Press: Boca Raton, FL, USA, 2017. Pyra, K.; Woniak, S.; Drelich-Zbroja, A.; Wolski, A.; Jargiello, T. Evaluation of effectiveness of embolization in pelvic congestion syndrome with the new vascular occlusion device (ArtVentive EOSTM): Preliminary results. Cardiovasc. Interv. Radiol. 2016, 39, 1122–1127. Antignani, P.L.; Lazarashvili, Z.; Monedero, J.L.; Ezpeleta, S.Z.; Whiteley, M.S.; Khilnani, N.M.; Meissner, M.H.; Wittens, C.H.; Kurstjens, R.L.; Belova, L.; et al. Diagnosis and treatment of pelvic congestion syndrome: UIP consensus document. Int. Angiol. 2019, 38, 265–283. Bookwalter, C.A.; VanBuren, W.M.; Neisen, M.J.; Bjarnason, H. Imaging Appearance and Nonsurgical Management of Pelvic Venous Congestion Syndrome. Radiographics 2019, 39, 596–608. Leonardi, M.; Condous, G. How to perform an ultrasound to diagnose endometriosis. Australas. J. Ultrasound Med. 2018, 21, 61–69. Daniels, J.; Gray, R.; Hills, R.K.; Latthe, P.; Buckley, L.; Gupta, J.; Selman, T.; Adey, E.; Xiong, T.; Champaneria, R.; et al. Laparoscopic uterosacral nerve ablation for alleviating chronic pelvic pain: A randomized controlled trial. JAMA 2009, 302, 955–961. Khan, K.S.; Tryposkiadis, K.; Tirlapur, S.A.; Middleton, L.J.; Sutton, A.J.; Priest, L.; Ball, E.; Balogun, M.; Sahdev, A.; Roberts, T.; et al. MRI Versus Laparoscopy to Diagnose the Main Causes of Chronic Pelvic Pain in Women: A Test-Accuracy Study and Economic Evaluation; Health technology assessment: Thessaloniki, Greece, 2018. Memon, S.R.; Memon, M.R.; Shaikh, A.A.; Memon, N.Y. Role of laparoscopy in the diagnosis of chronic pelvic pain. J. Datta Meghe Inst. Med. Sci. Univ. 2019, 14, 310. Bhatia, P.; Gupta, P.; Mor, D. Role of diagnostic laproscopy in chronic pelvic pain. Int. J. Reprod. Contracept. Obs. Gynecol. 2016, 5, 1152–1157. Brichant, G.; Denef, M.; Tebache, L.; Poismans, G.; Pinzauti, S.; Dechenne, V.; Nisolle, M. Chronic pelvic pain and the role of exploratory laparoscopy as diagnostic and therapeutic tool: A retrospective observational study. Gynecol. Surg. 2018, 15, 1–7. Tempest, N.; Efstathiou, E.; Petros, Z.; Hapangama, D.K. Laparoscopic Outcomes after Normal Clinical and Ultrasound Findings in Young Women with Chronic Pelvic Pain: A Cross-Sectional Study. J. Clin. Med. 2020, 9, 2593. Farber, L.A.; Kalawur, V.; Bortecen, K.; Rotgans, A.; Hollingsworth, C. Utilizing a Patient-Centric Diagnostic and Treatment Algorithm for Pelvic Congestion Syndrome (PCS) to Maximize Positive Outcomes and Patient Satisfaction. J. Anesth. Crit. Car. Open Access 2018, 10, 00349. Published How to Cite Issue Section Copyright (c) 2023 International journal of health sciences This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose. Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal. This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.