Diagnostic conscious pain mapping using laparoscopy under local anaesthetic and sedation in general surgical patients

Tytherleigh, M. G.; Fell, R. H.; Gordon, Andrew D.

doi:10.1016/s1479-666x(04)80077-5

Cited by 5 publications

(3 citation statements)

References 11 publications

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“…Focal tenderness may be treated with local anesthetic, re-examined, and re-scored for pain. With this technique, some subjects with pain localized to the gallbladder (16) and appendix (17) improved after cholecystectomy or appendectomy, respectively.…”

Section: Discussionmentioning

confidence: 99%

Relating Pelvic Pain Location to Surgical Findings of Endometriosis

Hsu

Sinaii

Segars

et al. 2011

Obstetrics &Amp; Gynecology

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Objective To study whether pain location is related to lesion location in women with chronic pelvic pain and biopsy-proven endometriosis. Methods A secondary analysis was performed to compare self-reported pain location with recorded laparoscopy findings for location and characteristics of all visible lesions. All lesions were excised. Endometriosis was diagnosed using histopathology criteria. The pelvic area was divided into three anterior and two posterior regions. Lesion depth, number of lesions or endometriomas, and disease burden (defined as sum of lesion sizes, or single versus multiple lesions) were determined for each region. Data were analyzed using t-tests, Fisher’s exact tests, and logistic regression modeling, with p-values corrected for multiple comparisons using the step-down Bonferroni method. Results Women with endometriosis (n=96) had a lower body mass index (BMI), were more likely to be white, had more prior surgery, and had more frequent menstrual pain and incapacitation than chronic pain patients without endometriosis (n=37). Overall, few patients had deeply infiltrating lesions (n=38). Dysuria was associated with superficial bladder peritoneal lesions. Other lesions or endometriomas were not associated with pain in the same anatomic locations. Lesion depth, disease burden, and number of lesions or endometriomas were not associated with pain. Conclusion In this group of women with biopsy-proven endometriosis, few had deeply infiltrating lesions or endometriomas. Dysuria and midline anterior pain were the only symptoms associated with the location of superficial endometriosis lesions. The lack of relationship between pain and superficial lesion location raises questions about how these lesions relate to pain. Clinical Trial Registration ClinicalTrials.gov, www.clinicaltrials.gov, NCT00001848.

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Section: Discussionmentioning

confidence: 99%

Relating Pelvic Pain Location to Surgical Findings of Endometriosis

Hsu

Sinaii

Segars

et al. 2011

Obstetrics &Amp; Gynecology

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“…Conscious pain mapping can be done with reasonable success in women with prior surgical evaluations and treatments for chronic pelvic pain. Chronic visceral pain syndrome, adhesions, and endometriosis were the most common diagnoses Although, long term results needs to be verified in larger scale studies (Tytherleigh et al, 2004).…”

Section: Laparoscopic Conscious Pain Mappingmentioning

confidence: 99%

Laparoscopy for Diagnosis and Treatment of Endometriosis

Al-Jefout¹

2011

Advanced Gynecologic Endoscopy

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“…Conscious pain mapping can be done with reasonable success in women with prior surgical evaluations and treatments for chronic pelvic pain. Chronic visceral pain syndrome, adhesions, and endometriosis were the most common diagnoses (Howard et al, 2000) Although, long term results needs to be verified in larger scale studies (Tytherleigh et al, 2004).…”

Section: Laparoscopic Conscious Pain Mappingmentioning

confidence: 99%

Advanced Gynecologic Endoscopy

Darwish¹

2011

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Thereafter, he received his Medical Doctorate in 1995 through a combined program between the University of Ulm, Germany and the University of Assiut, Egypt with Excellent degree. He joined the Endoscopy Unit of Villach University Hospital in Austria, the Assisted Reproduction Unit in Düsseldorf University Hospital in Germany and the reproductive biology and minimally invasive surgery unit in the Cleveland Clinic Foundation, Clevland, Ohio, USA. Currently, he is a Professor of Obstetrics and Gynecology, Faculty of Medicine, Assiut University since July 2005. Moreover, he is a consultant of Obstetrics and Gynecology in three hospitals and he is the moderator and lecturer of many endoscopic societies. He authored an internationally registered undergraduate book, presented 59 presentations in national and international meetings, delivered a lot of lectures in Egypt, some Arabian countries and the USA and published more than 40 papers in international medical journals, and 7 papers in national journals. He received some congress prizes and awards due to his work in the field of reproductive medicine since 1995. He is a reviewer of many international journals and an associate editor of two of them. In 2009, he got a PhD degree in the reproductive medicine at the

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Diagnostic conscious pain mapping using laparoscopy under local anaesthetic and sedation in general surgical patients

Cited by 5 publications

References 11 publications

Relating Pelvic Pain Location to Surgical Findings of Endometriosis

Relating Pelvic Pain Location to Surgical Findings of Endometriosis

Laparoscopy for Diagnosis and Treatment of Endometriosis

Advanced Gynecologic Endoscopy

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