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[25 patients undergoing laparoscopy for pelvic pain]

A Onvural1, M Cognat, O Karabacak

  • 1Faculté de Médecine, Université de Dokuz Eylül, IZMIR Turquie.

Revue Francaise De Gynecologie Et D'Obstetrique
|January 1, 1993
PubMed
Summary

Chronic gynecologic pelvic pain in women is often linked to prior abdominal surgeries, particularly appendectomy. A novel Infection Importance Coefficient (IIC) helps differentiate pain causes, guiding treatment from non-gynecologic investigation to surgery.

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Area of Science:

  • Gynecology
  • Surgical Pathology

Context:

  • Chronic pelvic pain affects women, often with normal gynecological examinations.
  • The 30-39 age group, married, multiparous females are most affected.
  • Associated symptoms include dysmenorrhea and dyspareunia.

Purpose:

  • To investigate the causes of chronic gynecologic pelvic pain in women with normal initial examinations.
  • To introduce and validate the Infection Importance Coefficient (IIC) for pain etiology assessment.

Summary:

  • 25 patients with chronic pelvic pain and normal gynecological exams were studied.
  • Intra-abdominal operations (48%), especially appendectomy (75%), were common causes.
  • Laparoscopy revealed adhesions, chronic annexitis, pelvic inflammatory disease, leiomyoma, endometriosis, parametritis, and cysts.

Related Experiment Videos

  • The IIC categorizes pain causes based on infection severity: 0-2 (non-organic), 3-5 (minor infection), 6+ (significant organic cause requiring surgery).

    • Impact:

    • The IIC provides a structured approach to diagnosing chronic pelvic pain.
    • It helps differentiate between non-organic, infectious, and organic causes.
    • Guides appropriate treatment strategies, including surgical intervention for severe organic findings.