---
abstract: "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"
altloc:
  - http://www.journalofmas.com/article.asp?issn=0972-9941;year=2005;volume=1;issue=3;spage=116;epage=120;aulast=Hebbar
  - http://www.bioline.org.br/request?ma05022
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creators_name:
  - family: Hebbar
    given: Shripad
    honourific: ''
    lineage: ''
  - family: Chawla
    given: Chander
    honourific: ''
    lineage: ''
date: 2005-09
date_type: published
datestamp: 2006-09-17
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dir: disk0/00/00/51/41
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eprint_status: archive
eprintid: 5141
fileinfo: /style/images/fileicons/application_pdf.png;/5141/1/Role_of_laparoscopy_in_evaluation_of_chronic_pelvic_pain.pdf
full_text_status: public
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keywords: chronic pelvic pain; endometriosis; laparoscopy; pelvic adhesions
lastmod: 2011-03-11 08:56:36
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number: 3
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publication: Journal of Minimal Access Surgery
publisher: Medknow Publications
refereed: FALSE
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rev_number: 12
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status_changed: 2007-09-12 17:07:17
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  - JOURNALS
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title: "Role of laparoscopy in evaluation of chronic pelvic pain\n\n"
type: journale
userid: 6641
volume: 1
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