?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Role+of+laparoscopy+in+evaluation+of+chronic+pelvic+pain%0A%0A&rft.creator=Hebbar%2C+Shripad&rft.creator=Chawla%2C+Chander&rft.subject=JOURNALS&rft.description=Introduction%3A+Chronic+pelvic+pain+(CPP)+is+a+common+medical+problem+affecting+women.+Too+often+the+physical+signs+are+not+specific.+This+study+aims+at+determining+the+accuracy+of+diagnostic+laparoscopy+over+clinical+pelvic+examination.+Settings+and+Design%3A+A+retrospective+study+of+patients+who+underwent+diagnostic+laparoscopy+for+CPP.+Materials+and+Methods%3A+The+medical+records+of+86+women+who+underwent+laparoscopic+evaluation+for+CPP+of+at+least+6-month+duration+were+reviewed+for+presentation+of+symptoms%2C+pelvic+examination+findings+at+the+admission%2C+operative+findings+and+follow+up+when+available.+Statistical+analysis+used%3A+McNemar+Chi-square+test+for+frequencies+in+a+2+x+2+table.+Results%3A+The+most+common+presentation+was+acyclic+lower+abdominal+pain+(79.1%25)%2C+followed+by+congestive+dysmenorrhoea+(26.7%25).+61.6%25+of+women+did+not+reveal+any+significant+signs+on+pelvic+examination.+Pelvic+tenderness+was+elicited+in+27.9%25.+Diagnostic+laparoscopy+revealed+significant+pelvic+pathology+in+58%25+of+those+who+essentially+had+normal+pervaginal+findings.+The+most+common+pelvic+pathology+by+laparoscopy+was+pelvic+adhesions+(20.9%25)%2C+followed+by+pelvic+congestion+(18.6%25).+Laparoscopic+adhesiolyis+achieved+pain+relief+only+in+one-third+of+the+women.+Conclusion%3A+The+study+revealed+very+low+incidence+of+endometriosis+(4.7%25).+Overall+clinical+examination+could+detect+abnormality+in+only+38%25+of+women%2C+where+as+laparoscopy+could+detect+significant+pathology+in+66%25+of+women+with+CPP.+This+shows+superiority+of+diagnostic+laparoscopy+over+clinical+examination+in+detection+of+aetiology+in+women+with+CPP+(P+%3C+0.001).+Adhesiolysis+helps+only+small+proportion+of+women+in+achieving+pain+control.%0A%0A&rft.publisher=Medknow+Publications&rft.date=2005-09&rft.type=Journal+(On-line%2FUnpaginated)&rft.type=NonPeerReviewed&rft.format=application%2Fpdf&rft.identifier=http%3A%2F%2Fcogprints.org%2F5141%2F1%2FRole_of_laparoscopy_in_evaluation_of_chronic_pelvic_pain.pdf&rft.identifier=++Hebbar%2C+Shripad+and+Chawla%2C+Chander++(2005)+Role+of+laparoscopy+in+evaluation+of+chronic+pelvic+pain.++%5BJournal+(On-line%2FUnpaginated)%5D+++++&rft.relation=http%3A%2F%2Fcogprints.org%2F5141%2F