<> "The repository administrator has not yet configured an RDF license."^^ . <> . . "Role of laparoscopy in evaluation of chronic pelvic pain\n\n"^^ . "Introduction: 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: A retrospective study of patients who underwent diagnostic laparoscopy for CPP. Materials and Methods: The medical records of 86 women who underwent laparoscopic evaluation for CPP of at least 6-month duration were reviewed for presentation of symptoms, pelvic examination findings at the admission, operative findings and follow up when available. Statistical analysis used: McNemar Chi-square test for frequencies in a 2 x 2 table. Results: The most common presentation was acyclic lower abdominal pain (79.1%), followed by congestive dysmenorrhoea (26.7%). 61.6% of women did not reveal any significant signs on pelvic examination. Pelvic tenderness was elicited in 27.9%. Diagnostic laparoscopy revealed significant pelvic pathology in 58% of those who essentially had normal pervaginal findings. The most common pelvic pathology by laparoscopy was pelvic adhesions (20.9%), followed by pelvic congestion (18.6%). Laparoscopic adhesiolyis achieved pain relief only in one-third of the women. Conclusion: The study revealed very low incidence of endometriosis (4.7%). Overall clinical examination could detect abnormality in only 38% of women, where as laparoscopy could detect significant pathology in 66% of women with CPP. This shows superiority of diagnostic laparoscopy over clinical examination in detection of aetiology in women with CPP (P < 0.001). Adhesiolysis helps only small proportion of women in achieving pain control.\n\n"^^ . "2005-09" . . "1" . "3" . . "Medknow Publications"^^ . . . "Journal of Minimal Access Surgery"^^ . . . . . . . . . . . "Chander"^^ . "Chawla"^^ . "Chander Chawla"^^ . . "Shripad"^^ . "Hebbar"^^ . "Shripad Hebbar"^^ . . . . . . "Role of laparoscopy in evaluation of chronic pelvic pain\n\n (PDF)"^^ . . . . . . . . . "Role_of_laparoscopy_in_evaluation_of_chronic_pelvic_pain.pdf"^^ . . . "Role of laparoscopy in evaluation of chronic pelvic pain\n\n (Image (PNG))"^^ . . . . . . "preview.png"^^ . . . "Role of laparoscopy in evaluation of chronic pelvic pain\n\n (Indexer Terms)"^^ . . . . . . "indexcodes.txt"^^ . . "HTML Summary of #5141 \n\nRole of laparoscopy in evaluation of chronic pelvic pain\n\n\n\n" . "text/html" . . . "JOURNALS" . .