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Objective: To evaluate the causes of pain in the pelvic region by laparoscopy and choosing the best treatment after diagnosis to avoid frequent hospital visits and medication. Patients and Methods: This descriptive research was conducted at Allied Hospital, Faisalabad (Gynecology & Obstetrics OPD) from March 2016 to January 2017. A total of 4301 patients reported to Obstetrics OPD during the period. Among these patients, 271 cases of pelvic pain were reported. The targeted sample interview was conducted and further investigations of pelvic pain patients were made. The subjects who could not answer the question were treated by laparoscopic incision. The final sample composed of 33 patients shortlisted in light of inclusion criteria for laparoscopy. Mandatory clinical pre-requisites were fulfilled and investigations were made in these patients. The patients suffering from cardiac and respiratory diseases, abdominal issues, peritonitis etc. were rejected. Diagnostic laparoscopy was also conducted under anaesthesia and the results were recorded on a form. Data analysis was carried out with the help of SPSS. Results: Most of the patients among selected 33 samples were between the age ranges of (31 – 41) years (51.52%). The prevalence of multipara women was 57.58%. The continuous and severe pain was observed in 17 patients (51.52%) which become unbearable at occasions. Three patients required hospital admission in cases of severe pelvic pain (9.1%). The Sub-fertility cases were seen in 11 patients (33.33%) whereas dysmenorrhea and dysfunctional bleeding was observed in 7 cases (21.21%) & 05 patients (15.15%) respectively. The lower back pain was reported by 04 patients (12.12%) on the back side of pelvis region (lumbosacral pain). Seven patients did not report any pain (21.21%). The diagnosis revealed a bulky uterus in 11 patients (33.33%). Also, adnexal masses and nodularity was observed in 6 and 5 patients respectively. Laparoscopic results showed pelvic diseases in 11 patients (33.33%). Nine patients were seen with different endometriosis degrees and 04 patients were clear from any type of pelvic anomaly (12.12%). Conclusion: The research concluded that the use of laparoscopy for evaluation, diagnosis and treatment of pelvic region diseases is vital in nature. The proper use of the laparoscopy can minimize the frequent hospital follow-up visits as well as can reduce the number of antibiotics used for the pelvic pain. Keywords: Laparoscopy, Antibiotics, Parity and Chronic Pelvic Pain, Dysmenorrhea and Dysfunctional Bleeding. |
