title: Pain mapping during minilaparoscopy in infertile patients without pathology.
abstract: OBJECTIVE
  To draw a map of pelvic pain and quantify the level of provoked pain during minilaparoscopy under local anesthesia and conscious sedation.
  
  
  METHODS
  Observational study (Canadian Task Force classification II-2).
  
  
  METHODS
  University hospital.
  
  
  METHODS
  Twenty infertile women.
  
  
  METHODS
  Minilaparoscopy was performed under local anesthesia and conscious sedation, and cognitive performance was evaluated with the Rey auditory verbal learning task.
  
  
  RESULTS
  The diagnostic procedure was performed with one 2-mm micrograsper and one 2-mm microprobe to evaluate the pelvis. In particular we grasped utero-ovarian ligaments; we touched, grasped, and distended fallopian tubes with blue dye; we moved the uterus with a manipulator inserted at the cervix; and we touched and grasped bowel and omentum. Level of pain was recorded on a visual analog scale. Patients had no pathologic findings, including minimal endometriosis and pelvic adhesions. The highest level of pain was recorded when we distended the tubes. No pain was elicited when we touched and grasped ovary, omentum, and bowel. In 10% of women when we stretched the tubo-ovarian ligament we provoked a minimal vagal reaction.
  
  
  CONCLUSIONS
  Minilaparoscopy under conscious sedation for pelvic pain mapping in women without pain or pathology revealed consistently negative findings, validating the value of this measurement. (J Am Assoc Gynecol Laparosc 6(1):51-54, 1999)
authors.affiliation: Department of Obstetrics and Gynecology, Tor Vergata University, Rome, Italy.
authors.forename: E
authors.initials: E
authors.lastname: Zupi
authors.forename: M
authors.initials: M
authors.lastname: Sbracia
authors.forename: D
authors.initials: D
authors.lastname: Marconi
authors.forename: F
authors.initials: F
authors.lastname: Zullo
authors.forename: K
authors.initials: K
authors.lastname: Santi
authors.forename: E
authors.initials: E
authors.lastname: Solima
authors.forename: C
authors.initials: C
authors.lastname: Romanini
mesh_terms: D000328:Adult; D000772:Anesthesia, Local; D016292:Procedural Sedation; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000503:physiopathology*; D010535:Laparoscopy; D017699:Pelvic Pain / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology*