Role of diagnostic laparoscopy in chronic pelvic pain

Bhatia, Pushpa; Gupta, Pratiksha; Mor, Devika

doi:10.18203/2320-1770.ijrcog20160875

Cited by 3 publications

(5 citation statements)

References 6 publications

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“…7 In a study conducted by Bhatia et al on 110 patients, average age at presentation was 28.6 years, predominantly the female sex. 8 In a study conducted by Karvande et al, out of 63 patients, average age at presentation was 31.7 years, predominantly of the female sex. 9 In a study conducted by Sinha et al, out of 50 patients, average age at presentation was 34.64 years, predominantly female sex.…”

Section: Discussionmentioning

confidence: 96%

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Role of diagnostic laparoscopy in chronic and recurrent pain abdomen

Jagarlamudi¹,

Hassan²

2020

Int Surg J

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Background: Chronic and recurrent abdominal pain of unknown origin represents a significant problem in surgical patients and poses a diagnostic dilemma. With advances in optics, laparoscopy allows visualisation of entire peritoneal cavity and further makes histological diagnosis possible. The rapidly increasing popularity of laparoscopy may be attributed to several factors including its applicability in both emergency and elective settings, high diagnostic yield, therapeutic management in the same setting, low patient morbidity, reduced hospital stays and expenditure. The objective of the study was to evaluate the role of diagnostic laparoscopy in chronic and recurrent pain abdomen.Methods: We conducted a prospective descriptive study on 50 patients who suffered from chronic and recurrent pain in abdomen for more than 3 months with inconclusive clinical or radiological diagnosis. All patients were subjected to diagnostic laparoscopy and findings were noted down. Therapeutic procedures were conducted at the same setting wherever indicated. Histopathological evaluation reports were followed up.Results: Out of 50 patients, laparoscopy established diagnosis in 44 patients, proving diagnostic efficacy at 88%. The most common finding at diagnostic laparoscopy was appendicitis (28%), followed by adhesions (24%). Other findings were tuberculosis (16%), pelvic inflammatory disease (8%), endometriosis (3%), partial torsion of ovarian cyst (4%), cholecystitis (2%). However, diagnostic laparoscopy showed normal study in 6 patients (12%). Appendicectomy followed by adhesiolysis were the most common procedures performed.Conclusions: Recurrent appendicitis is the most common cause of chronic and recurrent pain abdomen. Diagnostic laparoscopy is a safe and effective modality for both diagnostic and therapeutic management of such patients.

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Section: Discussionmentioning

confidence: 96%

“…In a study conducted by Bhatia et al, the average duration of pain was 10.4 months. 8 In a study conducted by Karvande et al, the average duration of pain was 9.2 months. 9 In a study conducted by Sinha et al, the average duration of pain was 8.1 months.…”

Section: Discussionmentioning

confidence: 97%

Role of diagnostic laparoscopy in chronic and recurrent pain abdomen

Jagarlamudi¹,

Hassan²

2020

Int Surg J

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“…Though, several studies investigated on microscopic intestinal endometriosis provide very small lesions clinical significance. The authors demonstrated the existence of distance from excised macroscopic lesions to microscopic endometriosis [25,26].…”

Section: Discussionmentioning

confidence: 99%

“…Chronic pelvic pain (CPP) is characterized as chronic discomfort in the lower abdomen or pelvis that has lasted at least 6 months. If severe enough, it may result in functional handicap or necessitate medical care and occur in the pelvis, lower abdominal wall, lumbosacral spine, and buttocks [1]. Approximately 15 percent of women between the ages of 18 and 49 report experiencing CPP, however less than a third seek medical treatment [2].…”

Section: Introductionmentioning

confidence: 99%

Role of diagnostic laparoscopy in women with chronic pelvic pain

Abeer,

Fida,

Anwar

et al. 2023

ijhs

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Background and Aim: Chronic pelvic pain can be diagnosed and treated with laparoscopy, which can reveal findings that cannot be detected clinically. There are many health related issues associated with chronic pelvic pain, and it negatively impacts overall health and ability to work. An assessment of diagnostic laparoscopy's role in chronic pelvic pain women was the purpose of the present study. Patients and Methods: This cross-sectional study was carried out on 98 women (16-45 years) present with chronic pelvic pain attended the Gynecology and Obstetrics Department of Khyber Teaching Hospital, Peshawar from June 2020 to June 2021. Study protocol was approved by institute research and ethical committee. Women with chronic pelvic pain (>6 months) without obvious pathological findings based on ultrasound and clinical examination were enrolled. Clinical findings, laparoscopic data, and ultrasound examination of each individual was recorded. SPSS version 28 was used for data analysis. Results: The overall mean age was 26.34±4.6 years. Age-wise distribution of women was as follows: 8 (8.2%) in 16-25 years, 48 (49%) in 26-35 years, and 42 (42.8%) in 36-45 years. Majority of women (92.6%) were married. About 9 (9.2%) women underwent previous surgery.

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“…Several studies have shown that laparoscopy is able to better/accurately identify the causes of CPP in patients, including PCS, in comparison to clinical and imaging examinations [32][33][34]. In one study [34], laparoscopy was determined to be superior in up to 98% of the cases.…”

Section: Diagnostic Laparoscopy In the Diagnosis Of Pcsmentioning

confidence: 99%

Advances of Laparoscopy for the Diagnosis of Pelvic Congestion Syndrome

Arnaoutoglou

Variawa²,

Ioannidis³

et al. 2021

Medicina

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The objective of this review is to describe the effectiveness of laparoscopy in the diagnosis and treatment of pelvic congestion syndrome (PCS). PCS is a cause of chronic pelvic pain (CPP) and is associated with dysfunction of the pelvic venous system. PCS is more common in women of reproductive age, and hormonal changes are associated with its development along with other reasons (e.g., working and living habits). There is an urgent need to establish an effective algorithm for the diagnosis and treatment of CPP, which could have a dramatic effect in patients’ everyday life. This algorithm should be able to overcome known issues that lead to the underdiagnosis of PCS, such as the overlap of its symptoms with other diseases. Here, we present our findings from literature articles about the methods used in practice today for the diagnosis of this syndrome. We also compare the methods to propose the most promising technique for providing a diagnosis with high accuracy. In our understanding, laparoscopy is superior when compared to other methods. It can provide a diagnosis of PCS while excluding or identifying other comorbidities and can also lead toward the next steps for the treatment of PCS.

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Role of diagnostic laparoscopy in chronic pelvic pain

Cited by 3 publications

References 6 publications

Role of diagnostic laparoscopy in chronic and recurrent pain abdomen

Role of diagnostic laparoscopy in chronic and recurrent pain abdomen

Role of diagnostic laparoscopy in women with chronic pelvic pain

Advances of Laparoscopy for the Diagnosis of Pelvic Congestion Syndrome

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