caa a22 4500 445308990 CHVBK 20180317142622.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s00404-010-1354-z doi (NATIONALLICENCE)springer-10.1007/s00404-010-1354-z Diagnostic laparoscopy in chronic pelvic pain [Elektronische Daten] [Damyanti Sharma, Krishna Dahiya, Nirmala Duhan, Ruchi Bansal] Introduction: Laparoscopy, because of its availability and safety, provides a valuable tool in the evaluation of undiagnosed chronic pelvic pain. It is a simple and definitive means of establishing the presence or absence of pelvic pathology without resorting to major abdominal surgery. Objective: To evaluate the causes of chronic pelvic pain using laparoscopy and to correlate between clinical examination, ultrasonography, and laparoscopy. Material and methods: The present prospective study was done in the Department of Obstetrics and Gynecology of Pt. BD Sharma, PGIMS Rohtak. Fifty cases of chronic pelvic pain attending gynae OPD were included in the study. After detailed history, examination, investigations, and ultrasonography, the patients were subjected to laparoscopy. Results: The mean age and parity of the patients with CPP was 30.88±7.71years and 1.74±1.38, respectively. The mean duration of pain was 2.8years (6months-8years). The commonest finding on laparoscopy was adhesions in 40%, endometriosis in 18%, and pelvic congestion syndrome in 20%, while 10% of the patients had normal pelvis. Laparoscopic findings were taken as gold standard and pelvic examination and ultrasonographic findings were compared with it. Conclusion: Clinical examination and ultrasonography has a sensitivity of 8.1 and 2%, respectively. Laparoscopy helps in detecting many causes of CPP which clinical methods and ultrasonography fail to identify. This enforces the position of laparoscopy as a gold standard in evaluation of this condition. Springer-Verlag, 2010 Diagnostic laparoscopy nationallicence Chronic pelvic pain nationallicence Sharma Damyanti Department of Obstetrics and Gynecology, Pt. BDS, PGIMS, Rohtak, Haryana, India aut Dahiya Krishna Department of Obstetrics and Gynecology, Pt. BDS, PGIMS, Rohtak, Haryana, India aut Duhan Nirmala Department of Obstetrics and Gynecology, Pt. BDS, PGIMS, Rohtak, Haryana, India aut Bansal Ruchi Department of Obstetrics and Gynecology, Pt. BDS, PGIMS, Rohtak, Haryana, India aut Archives of Gynecology and Obstetrics Springer-Verlag 283/2(2011-02-01), 295-297 0932-0067 283:2<295 2011 283 404 https://doi.org/10.1007/s00404-010-1354-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1354-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sharma Damyanti Department of Obstetrics and Gynecology, Pt. BDS, PGIMS, Rohtak, Haryana, India aut NATIONALLICENCE 700 1- Dahiya Krishna Department of Obstetrics and Gynecology, Pt. BDS, PGIMS, Rohtak, Haryana, India aut NATIONALLICENCE 700 1- Duhan Nirmala Department of Obstetrics and Gynecology, Pt. BDS, PGIMS, Rohtak, Haryana, India aut NATIONALLICENCE 700 1- Bansal Ruchi Department of Obstetrics and Gynecology, Pt. BDS, PGIMS, Rohtak, Haryana, India aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/2(2011-02-01), 295-297 0932-0067 283:2<295 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer