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Medicas UIS
Print version ISSN 0121-0319On-line version ISSN 1794-5240
Abstract
SEPULVEDA-AGUDELO, Janer and FUENTES-PORRAS, Juan Sebastián. Patients with chronic pelvic pain intervened by laparoscopy in the University Hospital of Santander, 2010-2013. Medicas UIS [online]. 2020, vol.33, n.2, pp.25-32. Epub Aug 30, 2020. ISSN 0121-0319. https://doi.org/10.18273/revmed.v33n2-2020003.
Introduction:
Chronic pelvic pain is a major problem due to its frequency and morbidity; it has a prevalence of 3.8%, it is considered one of the main indications for hysterectomy and laparoscopy. On the other hand, it is appropriate to select the patients who benefit from a laparoscopy.
Objective:
To describe the clinical characteristics, intraoperative findings, and surgical complications of patients with a diagnosis of chronic pelvic pain who underwent diagnostic and / or therapeutic laparoscopy at the University Hospital of Santander between the months of June. 2010 to December 2013.
Materials and methods:
A descriptive and cross-sectional retrospective study was carried out. The analysis plan was carried out in the STATA 12.0 software with a significance level of 5%.
Results:
The population was made up of 41 women, the initial therapeutic approach was analgesic (55.3%), in a lower hormonal proportion (29%), however, in 70% of the cases, a combined treatment was started, as there was no response in none of the patients a surgical procedure was performed, finding 51.2% adnexal masses and 41.5% dense adhesions as the main causes of chronic pelvic pain.
Conclusions:
A better diagnostic approach must be made to optimally use the available resources. Finally, laparoscopy is very useful for the management of endometriosis and adherent syndrome. MÉD.UIS.2020;33(2):25-32.
Keywords : Pelvic pain; Laparoscopy; Endometriosis; Chronic pain.