Laparoscopic findings, histopathologic evaluation, and clinical outcomes in women with chronic pelvic pain after hysterectomy and bilateral salpingo-oophorectomy.

Published

Journal Article

STUDY OBJECTIVE: To laparoscopically evaluate the pelvis of patients with chronic pelvic pain after hysterectomy and bilateral salpingo-oophorectomy, to determine any associated factors to the pain. DESIGN: Retrospective cohort of patients with chronic pelvic pain after hysterectomy and bilateral salpingo-oophorectomy (Canadian Task Force Classification II-2). SETTING: University-affiliated teaching hospital. PATIENTS: From January 1990 through May 2002, 124 women with chronic pelvic pain after hysterectomy and bilateral salpingo-oophorectomy underwent laparoscopic and histopathologic evaluation of the pelvis. INTERVENTION: Diagnostic laparoscopy was performed to inspect the pelvis for any signs of pathology. If any abnormalities were visualized, they were treated with CO2 laser resection and sent for histopathologic evaluation. MAIN OUTCOME MEASURES: Laparoscopic and histopathologic findings of the pelvis, as well as subjective pain improvement after laparoscopy. CONCLUSION: The most common histopathologic findings at laparoscopy in women with chronic pelvic pain after hysterectomy and bilateral salpingo-oophorectomy included adhesions, adnexal remnants, and endometriosis. Laparoscopic treatment of any pelvic pathologic condition improved pain symptoms in these women.

Full Text

Cited Authors

  • Behera, M; Vilos, GA; Hollett-Caines, J; Abu-Rafea, B; Ahmad, R

Published Date

  • September 2006

Published In

Volume / Issue

  • 13 / 5

Start / End Page

  • 431 - 435

PubMed ID

  • 16962527

Pubmed Central ID

  • 16962527

Electronic International Standard Serial Number (EISSN)

  • 1553-4669

International Standard Serial Number (ISSN)

  • 1553-4669

Digital Object Identifier (DOI)

  • 10.1016/j.jmig.2006.05.007

Language

  • eng