Laparoscopy in a general gynecologic unit

Liston, W. A.; Bradford, William P.; Downie, J.; Kerr, M. G.

doi:10.1016/0002-9378(72)90636-9

Cited by 44 publications

(7 citation statements)

References 6 publications

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“…Laparoscopies in women with chronic pelvic pain reveal normal tissue in one third to three quarters of cases [163], The various causes that have been proposed in clude chronic pelvic infections, nerve entrap ment and localized areas of hypersensitivity with referred pain [164], Varicosities and vas cular abnormalities are more common than in other women [165], Psychiatric and Psychological Studies. On the average, women with this syndrome show more evidence of psychiatric ill health than other patients, including those who have pel vic pain caused by organic disease such as endometriosis.…”

Section: Pelvic Painmentioning

confidence: 99%

Psychosomatic Syndromes, Somatization and Somatoform Disorders

Kellner¹

1994

Psychother Psychosom

110

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A psychosomatic syndrome is defined as a syndrome in which psychological processes play a substantial role in the etiology of the illness in some of the patients. The main conclusions on the extent of the biological and psychosocial contributions to several psychosomatic syndromes are presented and the relationship of these syndromes to somatization and somatoform disorders is discussed. The syndromes summarized include fibromyalgia, chronic fatigue, motility disorders of the esophagus, nonulcer dyspepsia, irritable bowel syndrome, urethral syndrome, behaviors causing disturbances of physiology, and some defined pain syndromes. The findings suggest that the extent of the biological and psychosocial contributions vary among these syndromes as well as among individuals with the same syndrome. In some syndromes the extent and nature of the biological contribution has not been established with certainty. There is evidence to suggest that many of the phenomena of the somatoform disorders are caused by clustering of psychosomatic syndromes or their incomplete or atypical manifestations and a low sensation threshold. The results of the controlled studies of various methods of psychotherapy and drug treatments of the psychosomatic syndromes are listed; these studies have practical implications because the adoption of these methods is likely to enhance the efficacy of the treatment of somatoform disorders.

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Section: Pelvic Painmentioning

confidence: 99%

Psychosomatic Syndromes, Somatization and Somatoform Disorders

Kellner¹

1994

Psychother Psychosom

110

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“…Our laparoscopic technique has already been described (Liston et al, 1972) and we invariably used general anaesthesia. A Palmer biopsy forceps was inserted through a separate abdominal wall incision and used for manipulation of the pelvic organs.…”

Section: Methodsmentioning

confidence: 99%

An Assessment of Laparoscopy as the Primary Investigation in the Subfertile Female

Templeton

Kerr

1978

Obstetrical & Gynecological Survey

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Our experience with laparoscopy as the primary means of assessment of the female genital tract is described in 279 women attending a subfertility clinic. Thirty-two per cent of patients with primary infertility and 60 per cent of patients with secondary infertility had significant pelvic disease. We feel that laparoscopy should replace other methods for the routine primary assessment of the genital tract in subfertile women.

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“…30 Fifth, at the time of sterilization, parous women may have a variable time period since their last delivery, and most studies do not account for the bias that a longer time of uninterrupted menstrual cycles may lead to a higher risk of endometriosis development because of the effect of cumulative retrograde menstruation. 4 Taking into consideration all of these limiting factors, it is nevertheless remarkable (Tables 1 and 2) [87][88][89][90][91][92][93][94][95][96][97][98] that the prevalence of endometriosis seems to be higher in infertile patients (13% in 1970-1987; 33% in 1988-2000) than in previously fertile women at the moment of laparoscopic sterilization (8% in 1970-1987; 4% in 1988-2000). Table 3 shows that infertile women have a significantly higher prevalence of endometriosis (P < 0.0001) and are significantly more likely to have moderate to severe endometriosis (P < 0.0001) than previously fertile women.…”

Section: Are the Prevalence And Stage Of Endometriosis Higher In Infementioning

confidence: 99%