ABSTRACT

Objective: The aim of this study was to evaluate the Laparoscope in the chronic pelvic pain.

Material and Methods: The design of this study was a descriptive study and this study was carried out at THQ Hospital Muzaffargarh and the duration of this study was from October 2019 to March 2020. Research relied on the convenience sample and it was carried out on the sample population of 4301 patients who visited the OPD of the said hospital. The research sample included OPD cases as 271 having an incidence of chronic pelvic pain. Interview was taken and investigation was made in those patients. Patients who failed to answer were treated with laparoscopy. After consent 33 cases were selected through including criteria for the laparoscopy. Necessary information and investigation was carried out in the patients. Serious cases of lung and heart, peritonitis, abdominal operations, intestinal obstruction and malignancy were not made a part of the research study. We also carried out diagnostic laparoscopy in the supervision of general anesthesia and operative outcomes were also observed in the prescribed form. SPSS-11 was used for data entry and analysis.

Results: In the thirty-three cases, maximum were in the age group of 31 – 41 years as 17 cases (51.52%) the ratio of multi-parous was (57.58%). Deep and dull pelvic pain was observed in 17 cases (51.52%) including sharp occasional episodes. Hospitalization in the case of acute pain cases was required in 03 patients (9.1%). Sub-fertility was complained by 11 patients (33.33%), 7 cases were of dysmenorrhea (21.21%); whereas dysfunctional bleeding was observed in 05 patients (15.15%). Only 04 patients (12.12%) registered low back ache complain in the region of lumbosacral. No complain was observed in 7 patients (21.21%). Bulky uterus was observed in 11 patients (33.33%). We left the adnexal masses in 06 patients (18.18%); whereas, 05 cases (15.15%) were having nodularity in Douglas pouch. In terms of laparoscopic outcomes 11 patients (33.33%) were observed with chronic inflammatory pelvic disease. Different endometriosis degrees were also observed in 09 patients (27.27%). No abnormality was noticed in 04 patients (12.12%).

Conclusion: Our research puts force on the laparoscopy importance for the evaluation of chronic pelvic cause in the patients. This technique requires due consideration as it is very essential managerial investigation in the cases having unnecessary and repeated antibiotic use with associated avoidable drugs.

Keywords: Laparoscopy, Antibiotics, Parity and Chronic pelvic pain.