Authors: M. Mára; Z. Fučíková; D. Kužel; A. Dohnalová; L. Haaková; J. Živný Authors‘ workplace: Gynekologicko-porodnická klinika 1. LF UK a VFN, přednosta prof. MUDr. J. Živný, DrSc. Fyziologický ústav 1. LF UK v Praze – oddělení kybernetiky, přednosta prof. MUDr. S. Trojan, DrSc. Published in: Ceska Gynekol 2002; (1): 38-46 Category:
Objectives: To analyze the laparoscopic findings in women with chronic pelvic pain (CPP). Toverify the possible predictive value of the anamnestic factors for the laparoscopically establisheddiagnosis.Design: A retrospective clinical trial.Setting: Department of Obstetrics and Gynaecology, lst Faculty of Medicine and the GeneralFaculty Hospital, Charles University, Prague.Methods: We realized a detailed analysis of laparoscopies for CPP performed in our clinic in thelast 5 years. With the help of statistical analysis (c2) the possible influence of age, previoussurgical intervention, history of PID, dysmenorrhea, infertility, and some other factors on endoscopic finding was verified.Results: 480 laparoscopies for CPP were performed from the year 1995 to 1999. The most frequentfindings were adhesions (22.3%), endometriosis (20.4%), PID (17.7%), and normal finding (17.7%).In 53% of all cases the operative laparoscopic procedure was done, most frequently the adhesiolysis (62.2%). Only one serious complication during laparoscopy was recorded (0.21%).In women younger than 30 years endometriosis was the most frequent finding (22.8%), in womenolder than 30 pelvic adhesions were the most often (31.9%). Diversity of findings between thegroups was statistically significant (P
Key words: chronic pelvic pain, laparoscopy, laparoscopic finding prediction
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