Impact of diagnostic laparoscopy on the management of chronic pelvic pain

Kang, Seung Joo; Chung, Hwa‐Jin; Lee, H.-P; Lee, Ja Yil; Chang, Yoon Seok

doi:10.1007/s00464-006-9047-1

Cited by 28 publications

(27 citation statements)

References 18 publications

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“…The prevalence of pelvic adhesions in other studies ranged from (18-31.5%) 11 .This difference could be explained by fewer laparotomies (20%) performed to our adolescents.…”

Section: Discussioncontrasting

confidence: 50%

Chronic Pelvic Pain in Adolescents Transvaginal ultrasound Versus Laparoscopy, A Prospective Cross Sectional Observational Study

2016

Int. J. Curr. Res. Med. Sci.

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Background: Chronic pelvic pain (CPP)is cyclic or noncyclic, intermittent or constant discomfort in the pelvic region for at least 6 months. It is a common complaint in female adolescents that may be overlooked. Objective: To evaluate CPP in adolescents using transvaginal ultrasound (TVS) and laparoscopy. Study design: This is a prospective cross sectional observational study conducted at gynecology clinic of Al Azhar University Hospital of Assiut-Egypt. A total of 100 adolescents with CPP were evaluated by TVS and laparoscopy and findings were analyzed. Results: The mean age of adolescents was 17 ± 3.5 the majority were parous (51%), rural (69%) and low social class (65 %). Diffuse pelvic pain was present in (62%), Dysmenorrheain (61%), deep abdominal and pelvic tenderness in (55% and 80% respectively). TVS was normal in (40%) andabnormalin (60%). Laparoscopic evaluation was normal in (29%)and abnormal in(71%) in the form of tubo-ovarian masses (19%),endometriosis (18%) ovarian cysts (9%), adenomyosis (8%), Adhesions (6%), PID and RVF uterus (4% for each), subserous fibroid and pelvic congestion (1% for each). sensitivity and specificity of TVS were (81.7% and 93.1% respectively). Positive and negative predictive values were 96.7% and 67.5% respectively. Kappa test between TVS and laparoscopy showed good agreement (kappa = 0.67). Conclusions: Good agreement was found between TVS and laparoscopy, however, laparoscopy is considered as a gold standard tool in evaluating adolescent CPP because of distinct advantages in terms of sensitivity and negative predictive value.

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“…The prevalence of pelvic adhesions in other studies ranged from (18-31.5%) 11 .This difference could be explained by fewer laparotomies (20%) performed to our adolescents.…”

Section: Discussioncontrasting

confidence: 50%

Chronic Pelvic Pain in Adolescents Transvaginal ultrasound Versus Laparoscopy, A Prospective Cross Sectional Observational Study

2016

Int. J. Curr. Res. Med. Sci.

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“…4 A definitive diagnosis of endometriosis can only be made at surgery, generally via laparoscopy, and there are well-recognised risks associated with this. 5,6 Moreover, studies report that between 21 7 and 46% 8 of women with chronic pelvic pain are found not to have any identified pathology at laparoscopy.…”

Section: Introductionmentioning

confidence: 99%

Can symptomatology help in the diagnosis of endometriosis? Findings from a national case–control study—Part 1

Ballard

Seaman

Vries

et al. 2008

BJOG

356

246

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Objective To determine the value of patient-reported symptoms in diagnosing endometriosis.Design A national case-control study.Setting Data from the UK General Practice Research Database for years 1992-2001.Sample A total of 5540 women aged 15-55 years, diagnosed with endometriosis, each matched to four controls without endometriosis.Methods Data were analysed to determine whether specific symptoms were highly indicative of endometriosis. Odds ratios for these symptoms were derived by conditional logistic regression analysis. . Women with endometriosis were also found to consult the doctor more frequently than the controls and were twice as likely to have time off work.Conclusions Specific symptoms and frequent medical consultation are associated with endometriosis and appear useful in the diagnosis. Endometriosis may coexist with or be misdiagnosed as pelvic inflammatory disease or IBS.

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“…Laparoscopic finding in patients with chronic pelvic pain, followed by normal pelvic Findings in 21.2% cases and pelvic congestion in 13.0% cases. 9 Other study, adhesions were found in 79.2% (n-84) of patients with chronic pelvic pain. But in Present study adhesions were found in less no of cases (9.09%) of CPP.…”

Section: Discussionmentioning

confidence: 83%

“…Minor complications included wound infection, abdominal discomfort after laparoscopy. 9,11 Laparoscopy is also called minimal invasive surgery. Various small operative procedures can be done from laparoscope.…”

Section: Discussionmentioning

confidence: 99%

Role of diagnostic laparoscopy in chronic pelvic pain

Bhatia

Gupta

Mor

2016

Int J Reprod Contracept Obstet Gynecol

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Impact of diagnostic laparoscopy on the management of chronic pelvic pain

Abstract: Diagnostic laparoscopy is a useful diagnostic tool for of women with chronic pelvic pain and can be used as a guideline for individualized treatment.

Cited by 28 publications

References 18 publications

Chronic Pelvic Pain in Adolescents Transvaginal ultrasound Versus Laparoscopy, A Prospective Cross Sectional Observational Study

Chronic Pelvic Pain in Adolescents Transvaginal ultrasound Versus Laparoscopy, A Prospective Cross Sectional Observational Study

Can symptomatology help in the diagnosis of endometriosis? Findings from a national case–control study—Part 1

Role of diagnostic laparoscopy in chronic pelvic pain

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