Abdominal-Pelvic Pain: When to Operate and When to Not...

From: Helen Dynda (olddad66@runestone.net)
Sat Jul 5 15:41:38 2003

Editorial note (from The ISGE News...June, 2001 Volume 7 Issue 2) " This is a good review of abdominal-pelvic pain. Gynecologists who manage patients with chronic pelvic or abdominal pain should read this article."

~ ~ ~ ~

X> Abdominal-Pelvic Pain: When to Operate and When to Not ..... Carnett's Test ... Iatrogenic Peripheral Nerve Injuries ... Abdominal Cutaneous Nerve Entrapment ... Hernias ... Myofascial Pain Syndromes ... The Rib Tip Syndrome ... Abdominal Pain of Spinal Origin ... Spontaneous Rectus Sheath Hematoma ... Management and Treatment

http://www.obgyn.net/isge/isgenews_0601E.htm#abd

About 35% of women with chronic pelvic pain will have no apparent pathology laparoscopically. Unfortunately, many physicians consider laparoscopy the ultimate or definitive diagnostic evaluation of pelvic pain and, when the findings are negative, may make one or more of the following statements to their patients:

There is nothing wrong.

.....The pain is in your head and you should see a psychiatrist or psychologist.

.....You should have a neurolytic procedure, such as uterine nerve transection or presacral neurectomy.

.....The only thing that is left to do is hysterectomy.

.....Nothing can be done and you must learn to live with the pain.

The care of women will be improved if diagnostic techniques are used which can reduce the frequency of negative laparoscopies. One very useful technique for reducing negative laparoscopies is to utilize techniques developed for the diagnosis of causes of rectus abdominus pain.

PLEASE GO TO THE ABOVE WEBSITE TO FINISH READING THIS ARTICLE ... (and seriously consider printing-out this information to give to your doctor/gynecologist.)

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