Comparative Study between Laparoscopic Pathological Findings in Chronic Pelvic Pain and Asymtomatic Patients

Abstract

Comparative Study between Laparoscopic Pathological Findings in Chronic Pelvic Pain and Asymtomatic Patients

Phongthorn    Virojchaiwong   MD

Department of Obstetrics and Gynecology, BMA Medical College and Vajira Hospital

Objective: To compare the prevalence of any type of laparoscopic pathological findings in chronic pelvic pain and asymptomatic patients.

Study design: Retrospective case control study.

Subjects: Two hundred and thirty female patients which were received laparoscopy due to chronic pelvic pain (116) or as a routine evaluation in infertile patients (114) whom were asymtomatic for pelvic pain in BMA Medical College and Vajira Hospital between January 1994 - December 2000.

Method: Retrospective collection the data from medical records, operative notes, outpatient department cards, then record the data such as age, weight, history of previous abdominal surgery or sexual transmitted disease, type of  pathological findings such as endometriosis, pelvic adhesive lesions, and negative study, important characteristics such as severity, form, location in patient record forms for further analysis. 

Main outcome measures: The prevalence of any type of laparoscopic pathological findings such as pelvic endometriosis, pelvic adhesive lesions, and negative study.

Results: The prevalence of laparoscopic pathological findings in chronic pelvic pain and asymptomatic patients which were pelvic endometriosis 53.44% and 54.38%, pelvic adhesive lesions 31.04% and 28.07%, and negative study 15.52% and 17.55% respectively.

Conclusion: The prevalence of laparoscopic pathological findings in chronic pelvic pain and asymptomatic patients which were pelvic endometriosis, pelvic adhesive lesions and negative study were in the same proportion and no statistically significant differences.

Key words: laparoscopic pathological findings, chronic pelvic pain, infertility

Vajira Med J 2001 ; 45 : 31 - 39