Between January 1990 and December 2002 the authors have performed 6974 laparoscopic procedures, out of these 651 operations (9,3%) were cring 1998-1999 revealed that complaints had dated back for a significantly longer period of time in patients presenting with no obvious sign of pelvic anatomical anomaly when compared to those who had positive findings upon laparoscopy. Among those who had positive pelvic findings, laparotomy was performed in a significantly higher number. In the group of patients with no pelvic findings the medical history revealed no ectopic pregnancy and there were only 2 occasions with prior adnexal operations, while among the patients with positive findings, medical history showed 11 cases of ectopic pregnancy, 26 cases with adnexal operations (p<0.01) and a higher number of appendectomies and cholecystectomies. In the group of patients presenting positive findings, more than two third of the necessary operations were performed at the time of the diagnostic laparoscopy. Operative laparoscopic procedures applied most frequently in case of these patients included adhesiolysis, electrocoagulation of areas of endometriosis, denervation of sacrouterine ligaments, cystectomy, ovarian resection, myomectomy and ventrofixation of the retroflexed uterus. Based on our data we believe that laparoscopy plays a key role in the management of patients with chronic pelvic pain.
|Number of pages||5|
|Journal||Magyar Noorvosok Lapja|
|Publication status||Published - jan. 1 2003|
- Chronic pelvic pain
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynaecology