Combined hysteroscopic and laparoscopic findings in patients with chronic pelvic pain

Carter, James E.

doi:10.1016/s1074-3804(05)80830-8

Cited by 146 publications

(75 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In women presenting with chronic pelvic pain, that prevalence may reach up to 82% 4,5 , and in those undergoing investigation for infertility, between 20% and 50% 3,[6][7][8] . Several theories have been proposed to explain the pathogenesis of this disease 9 .…”

Section: Introduction Introduction Introduction Introduction Introducmentioning

confidence: 99%

Desenvolvimento de modelo experimental de endometriose em ratas

Amaral

Lago

Kondo

et al. 2009

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

OBJETIVO: Desenvolver um modelo de endometriose experimental em ratas. MÉTODOS: Foram utilizadas 30 ratas adultas da linhagem Wistar. A técnica cirúrgica consistiu em laparotomia mediana com identificação do útero bicorno e ressecção de um segmento de 2 cm do corno uterino direito. Um retalho de 0,25 cm² foi retirado dessa estrutura e suturado na parede abdominal com a face endometrial voltada para a cavidade peritoneal. As ratas foram divididas aleatoriamente em dois grupos de acordo com o tempo para a reoperação: grupo 1 (n=15), reoperado em 30 dias, e grupo 2 (n=15), em 60 dias. No momento da segunda laparotomia os implantes foram avaliados macroscopicamente, ressecados e encaminhados para análise microscópica com coloração hematoxilina-eosina e imunohistoquímica (HEMA, AE1 e AE2). RESULTADOS: Os implantes se desenvolveram em 83,3 % do Grupo 1 e 71,4% no Grupo 2. Não houve diferença estatisticamente significativa entre o peso dos animals dos dois grupos. Também não houve diferença estatisticamente significativa no tamanho da área das lesões induzidas: no Grupo 1 a média foi 0,37 cm² e no Grupo 2, de 0,25 cm². Segundo a classificação histológica semi-quantitativa de Keenan (de acordo com a preservação da camada epitelial de endométrio), o Grupo 1 teve média de 1,9 e o Grupo 2, de 2,4. CONCLUSÃO: A técnica utilizada para o desenvolvimento de endometriose em ratas foi satisfatória.

show abstract

Section: Introduction Introduction Introduction Introduction Introducmentioning

confidence: 99%

Desenvolvimento de modelo experimental de endometriose em ratas

Amaral

Lago

Kondo

et al. 2009

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

show abstract

“…Although our study population composed of only women without a history of pelvic surgery except for cesarean section, adhesion was still in the first place. In the literature, the most frequent coexistence is with adhesion, as well [23][24][25][26]. Kontoravdis et al performed laparoscopy on 1629 patients with CPP and identified adhesion in 577 (35.4%) of them [23].…”

Section: Resultsmentioning

confidence: 99%

Laparoscopic Uterine Nerve Ethanol Neurolysis (LUNEN) in Patients with Chronic Pelvic Pain

Sönmez¹,

Naykı²,

Ulug³

et al. 2016

Journal of Clinical and Experimental Investigations

View full text Add to dashboard Cite

ÖZETAmaç: Kronik pelvik ağrılı (KPA) hastalarda ağrı tedavisinde laparoskopik olarak uterin sinirin etanol ile nörolizi-sinin (LUNEN) etkinliğinin araştırılması Yöntemler: Kimyasal bir nörolizis prosedürü olan LU-NEN, 22 hastaya uygulandı ve bunlar sadece tanısalk laparoskopi yapılan 20 kontrol hastayla karşılaştırıldı. Tedavi öncesi ve tedavi sonrası altıncı ayda Vizüel Analog Skalası (VAS) değerlendirildi, Ayrıca, ağrı kontrolünde hasta memnuniyetini sorgulayan subjektif bir ağrı değer-lendirmesi yapıldı. Methods: LUNEN, as a chemical neurolysis procedure, was performed on 22 subjects, and these were compared with 20 controls that had a diagnostic laparoscopy alone. Pre-treatment and postoperative 6 th month Visual Analogue Scale (VAS) scores were estimated and a subjective pain evaluation questioning patients' satisfaction about pain relief in the 6th month after surgery was also performed.Results: A total of 31 (73.8%) out of 42 CPP patients had a laparoscopic pelvic pathology. Preoperative VAS scores were similar in the groups; however, the mean postoperative VAS score was significantly lower in the LUNEN group than in the control group (3.18 ± 2.88 vs. 5.35 ± 3.09; p=0.02). In the LUNEN group, the number of patients who stated that their pain was relieved partially or completely was also significantly higher than in the control group (82% vs. 40%, p=0.019). Conclusion:LUNEN is a feasible, safe and effective surgical alternative to traditional surgical methods in patients suffering from CPP. J Clin Exp Invest 2016; 7 (1): 7-13

show abstract

“…The second most common abnormality was endometriosis in 41.31%, in comparison to 25% reported by Kontoravdis et al 15 16% by Newham et al 12 and 80% by Carter JE. 14 The sensitivity of clinical and USG examination to find then etiology of CPP was 71.6% and 82.4% respectively. The negative predictive value of clinical examination was 55.3%, comparable to 42.8% reported by Ozaksit et al 16 The negative predictive value of USG(TVS) was 66.7%, in comparison to 60% reported by Ozaksit et al 16 Other findings like pelvic congestion, ovarian cyst and myoma were visible in a lesser percentage of cases.Some of the cases of pelvic congestion were associated with bulky uterus and point towards the existence of adenomyosis (Which could not be established in the absence of hysterectomy and HP exam).…”

Section: Discussionmentioning

confidence: 96%

Laparoscopic Evaluation of Chronic Pelvic Pain in Women: Its Present Role and Advantage Over Other Diagnostic Procedures

Boruah¹,

Phukan²

2016

jemds

View full text Add to dashboard Cite

OBJECTIVESChronic pelvic pain (CPP) is best defined as non-menstrual pelvic pain for at least six months, which is severe enough to cause functional disability and require medical or surgical treatment. A thorough clinical examination no doubt provides the gynecologist with considerable information but that is not sufficient in arriving at the diagnosis or pinpointing the cause of CPP in all cases. Ancillary aids like imaging studies and direct visualization of the pelvic organs by laparoscopy are often required. In this study we made an effort to find out the role of laparoscopy in the evaluation of CPP and provide treatment in the same setting. METHODSThe present study was conducted in the department of Obstetrics and Gynecology, Assam Medical College and Hospital, Dibrugarh from July 2014 to June 2015. All the patients presented with the complaint of CPP. After history, physical examination, routine investigations and USG, 61 cases were subjected to laparoscopy. RESULTSSensitivity and specificity of USG was found to be 69.56% and 100% respectively while for laparoscopy it was 98.46% and 100% respectively. Positive predictive value was 100% by both means but negative predictive value was significantly higher by laparoscopy i.e. 93.75% in marked contrast to USG (34.8%). CONCLUSIONLaparoscopy triumphs in detecting many abnormalities which clinical methods and USG sometimes fail to identify. This enforces the position of laparoscopy as a gold standard in the evaluation of CPP.

show abstract

Combined hysteroscopic and laparoscopic findings in patients with chronic pelvic pain

Cited by 146 publications

References 19 publications

Desenvolvimento de modelo experimental de endometriose em ratas

Desenvolvimento de modelo experimental de endometriose em ratas

Laparoscopic Uterine Nerve Ethanol Neurolysis (LUNEN) in Patients with Chronic Pelvic Pain

Laparoscopic Evaluation of Chronic Pelvic Pain in Women: Its Present Role and Advantage Over Other Diagnostic Procedures

Contact Info

Product

Resources

About