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


METHODS
Retrospective cohort of patients with chronic pelvic pain after hysterectomy and bilateral salpingo-oophorectomy (Canadian Task Force Classification II-2).


METHODS
University-affiliated teaching hospital.


METHODS
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.


METHODS
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.


METHODS
Laparoscopic and histopathologic findings of the pelvis, as well as subjective pain improvement after laparoscopy.


CONCLUSIONS
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.
Behera
Millie
M
Department of Obstetrics and Gynecology, St. Joseph's Health Care, University of Western Ontario, London, Ontario, Canada.
Vilos
George A
GA
Hollett-Caines
Jackie
J
Abu-Rafea
Basim
B
Ahmad
Riad
R
D000328:Adult; D000368:Aged; D002908:Chronic Disease; D015331:Cohort Studies; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D005831:Genital Diseases, Female / Q000473:pathology / Q000601:surgery; D006801:Humans; D007044:Hysterectomy; D010535:Laparoscopy; D008875:Middle Aged; D010052:Ovariectomy; D017699:Pelvic Pain / Q000473:pathology* / Q000601:surgery; D011183:Postoperative Complications; D012189:Retrospective Studies; D016896:Treatment Outcome