Page 27 - World Journal of Laparoscopic Surgery

Shailaja Chhetri

there is no suspicion of a psychological diagnosis, it helps 3. Vincent K. Chronic pelvic pain in women. Post Grad Med J
provide the doctor with specific information about the patient 2009;85:24-29.
that may be related to therapeutic responsiveness and 4. Marana R, Paielle FV, Muzii L, Dell’Acqua S, Mancuso S. The
prognosis, and can be used in treatment planning, however role of laparoscopy in the evaluation of Chronic Pelvic Pain:
this may not always be possible. Minerva Ginecol 1993 Jun;45(6):281-86.
Not all women who experience chronic pelvic pain consult 5. Kontoravdis A, Hassan E, Hassiakos D, Botsis D, KontoravdisN,
their doctor and of those who do, not all are referred for hospital Creatsas G. Laparoscopic evaluation and management of chronic
investigations let alone laparoscopy. It was noted that among pelvic pain during adolesence: Clin Exp Obstet Gynecol
483 Oxfordshire women with chronic pelvic pain, 195 (40%) had 1999;26(2):76-77.
not sought a medical consultation, 127 (26%) reported a past 6. Mara M, Fucikova Z, Kuzel D, Dohnalova A, Haakova L, et al.
consultation and 139 (27%) reported a consultation for pain. 14 Laparoscopy in chronic pelvic pain—a retrospective clinical
study: Ceska Gynekol 2002;67(1):38-46.
7. Swanton A, Iyer L, Reginald PW. Diagnosis, treatment and follow
CONCLUSION
up of women undergoing conscious pain mapping for chronic
Chronic pelvic pain is a common problem and presents a major pelvic pain: a prospective cohort study. BJOG 2006;113:792-
challenge to health care providers because of its unclear 96.
etiology, complex natural history, and poor response to therapy. 8. Cheong Y, Stones WR. Management of chronic pelvic pain:
Laparoscopy has a major role in the gynecologist’s evidence from randomized controlled trials. Obstet Gynecol
evaluation of potential visceral causes of chronic pelvic pain. 2006;8:32-38.
Significant judgment is required in individualizing each woman’s 9. Drozgyik I, Vizer M, Szabo I. Significance of laparoscopy in the
evaluation. Missing treatable disease prolongs the patient’s management of chronic pelvic pain. Eur J Obstet Gynecol Reprod
suffering and may even be life-threatening in rare cases. In Biol 2007;133(2):223-26.
patients who have undergone laparoscopy, reassurance derived 10. Wood C, Kuhn R, Tsaltas J. Laparoscopic diagnosis of
by the procedure may lead to improvement in their symptoms. endometriosis. Obstet Gynecol 2002;42(3):277.
Therefore laparoscopy has an important role in the diagnosis 11. Richardson WS, Stefanidis D, Chang L, Earle DB, Fanelli RD.
and treatment of patients with chronic pelvic pain and should The role of laparoscopy for chronic abdominal conditions: an
be done in all patients with chronic pelvic pain. evidence based review. Surg Endosc 2009. Apr 9 (Epub ahead of
print).
12. Fauconnier A, Chapron C. Endometriosis and pelvic pain:
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