Digital Repository, University of Kelaniya Medicine Journal/Magazine Articles

 
Please use this identifier to cite or link to this item: http://repository.kln.ac.lk/handle/123456789/2068
Title: How can we reduce negative laparoscopies for pelvic pain?
Authors: Singh, N.
Rashid, M.
Herath, R.P.
Issue Date: 2011
Publisher: Informa Healthcare
Citation: Journal of Obstetrics and Gynaecology; 31(1): pp.62-8
Abstract: Chronic pelvic pain is a common condition and the RCOG guideline provides an evidence-based framework for the initial assessment. This study investigated the adequacy and relevance of the initial assessment in patients who underwent elective laparoscopic procedure for pelvic pain. History-taking was found to be deficient and was unable to identify factors which may be related to the cause or perception of the pain. Only a small percentage benefitted from a therapeutic trial of hormonal and non-hormonal agents and referral to other specialities. Ultrasound and bimanual examination were both found to be of little value. Laparoscopy assisted in diagnosis in 45% of patients. A structured initial assessment and targeted selection of patients for laparoscopy would reduce the number of patients with normal findings and thus, it would reduce the number of women who suffer pain and isolation after a negative laparoscopy.
URI: http://repository.kln.ac.lk/handle/123456789/2068
ISSN: 0144-3615 (Print)
1364-6893 (Electronic)
Appears in Collections:Journal/Magazine Articles

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.