[Pelvic pain as an indication for laparoscopy]

During the practice of every gynaecologist there have been women whose only complaint have been pelvic pain. In recent years the pelvic pain occupies one of the leading positions as an indication for laparoscopy. The author has carried out observations over 69 patients with such problems. The phlogistic changes of the adnexa have been the most frequent endoscopic finding, followed by the endometriosis. The other pathological changes in the small pelvis combined with pelvic pain have been the varicose changes in the vascular net of the ovaries, the mesosalpinx and the parameters. The author recommends laparoscopy for objectivization of the changes in the small pelvis and for determining the appropriate medical approach.