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Surgical management of chronic pelvic pain

Authors:

Kamal Ojah ,

Clinical Fellow, Department of Obstetrics and Gynaecology, St George’s Hospital and Medical School, London, GB
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Arti Matah

Consultant in Obstetrics and Gynaecology, St George’s Hospital and Medical School, London, GB
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Abstract

Chronic pelvic pain is a common debilitating condition affecting women and presents a major challenge to healthcare providers. Laparoscopy is the only test capable of diagnosing peritoneal endometriosis and adhesions. Gynaecologists have, therefore, seen it as an essential tool in the assessment of women with chronic pelvic pain. This article explores the role of surgery in the management of chronic pelvic pain. The approach to women with chronic pain must be therapeutic, supportive and sympathetic. Depending on the severity of disease found, ideal practice is to diagnose and remove the disease surgically at the same time during laparoscopy. A maximum surgical effort must be expended to resect all endometriosis, restore normal pelvic anatomy, resect nerve fibres and treat surgically accessible disease.

Keywords: chronic pelvic pain (CPP); endometriosis; laparoscopy; pelvic adhesions

DOI: 10.4038/sljog.v31i1.1740

Sri Lanka Journal of Obstetrics and Gynaecology 2009; 31: 59-65

DOI: http://doi.org/10.4038/sljog.v31i1.1740
How to Cite: Ojah, K. & Matah, A., (2010). Surgical management of chronic pelvic pain. Sri Lanka Journal of Obstetrics and Gynaecology. 31(1), pp.59–65. DOI: http://doi.org/10.4038/sljog.v31i1.1740
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Published on 02 Apr 2010.
Peer Reviewed

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