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Query: UMLS:C0030794 (pelvic pain)
 4,056 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

53 women, 27-45 years of age, underwent laparoscopic sterilization by the Falope ring. 2 pregnancies were reported, and an HSG (hysterosalpingography) examination revealed an open Fallopian tube in 1 patient. One pregnancy was caused by an incorrectly placed ring, while an ectopic pregnancy occurred in spite of a correctly placed one. The average length of the oepration was 8.3 minutes, with a maximum length of 35 minutes. 12 patients had minor immediate peroperative complications, e.g. bleeding, laceration of the Fallopian tube. 9% complained of bleeding irregularities and 6% of pelvic pain.
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PMID:[Laparoscopic sterilization with the Falope ring]. 644 12

Laparoscopy is valuable in the definitive diagnosis of pelvic pain of uncertain aetiology. A clinical diagnosis of pelvic pain was made in 67 patients, but was confirmed by laparoscopy in only 34. In 36 patients in whom a clinical diagnosis of ectopic pregnancy had been made this was confirmed at laparoscopy in 21, while six of 26 positive laparoscopic diagnoses of ectopic pregnancy were unsuspected clinically. Acute pelvic inflammatory disease was diagnosed correctly on clinical grounds in only eight of 22 patients; in the other 16 patients the diagnosis was first made at laparoscopy. In these 16 patients there was poor correlation with the bacteriological results of cervical smears and cultures. Of 30 patients in whom a preoperative clinical diagnosis had not been made, laparoscopy showed normal pelvic viscera in 12. Similarly, in another eight of the 68 patients thought to have organic pelvic pathology on clinical grounds, the laparoscopic findings were normal. Apart from establishing a definitive diagnosis, laparoscopy has been found to be a safe procedure, and one of considerable cost effectiveness in terms of hospital stay.
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PMID:Diagnostic laparoscopy: role in management of acute pelvic pain. 645 17

The India Fertility Research Program has conducted a wide range of studies for the purpose of evaluating the safety and effectiveness of female sterilization techniques. This is a report of a 2 year follow-up analysis of women who underwent sterilization for family size limitation. The data were examined to evaluate the incidence of gynecologic abnormalities, subsequent gynecologic surgery, weight gain, changes in menstrual patterns, and pregnancies following sterilization. Follow-up data were reported for 3466 women who underwent sterilization over the 1973 to 1979 period at 8 institutions participating in 15 studies utilizing the standard protocols of the India Fertility Research. Data on patient characteristics, medical and menstrual history and clinical aspects of the procedure were reported at the time of sterilization. Early complications and complaints were reported at the 1st follow-up visit, 1-3 weeks after surgery. The reported incidence of gynecologic conditions decreased from 10.1% at the 6 month follow-up visit to 8.8% and 6.2% at the 12 and 24 month follow-up visits. There was a decrease, over time, in the incidence of acute (1.0% to 0.7%) and chronic (6.1% and 2.8%) pelvic infection as well as incision related complications (1.5% to 0.3%). At the 6 month follow-up visit, 16.2% of the women reported complaints. At the 12 and 24 month follow-up visits, only 9.8% and 5.4% of the women reported any complaints. The incidence of pelvic pain, the most frequently reported complaint, decreased from 13.0% at the 6 month visit to 7.1% and 5.0% at the 12 and 24 month follow-up visits. The incidence of wounded pain decreased from 2.2% at the 6 month follow-up visit to 1.0% at the 12 month and 0.2% at the 24 month follow-up visits. Poststerilization gynecologic surgery was reported for 11 women at 6 months, 14 at 12 months and 92 at 24 months. No change in body weight was reported for 57.2% to 63.3% of the women at the various follow-up visits. Significantly more women reported an increase rather than a decrease in body weight at each follow-up visit. Over 80% of the women reported no change in the amount of menstrual flow after sterilization. 37 pregnancies were reported for this series. There was 1 ectopic pregnancy. Results of this prospective study show that the incidence of gynecologic pathology for women undergoing sterilization was not significantly higher than what might be expected in the general population and that there was a significant decline, over time, in the rates of gynecologic abnormalities reported after sterilization.
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PMID:Two-year follow-up of 3,466 sterilizations in India. 713 34

Ectopic pregnancy is a common gynecological condition which usually presents with symptoms of acute abdomen. During the period 1976 to 1978, 152 cases of ectopic pregnancy were treated in our department. About one ectopic pregnancy was treated for every 100 infants delivered. Most of the cases were seen during summer time. Of the patients 43% were between 26 to 30 years of age. From their previous history, 47% reported one or more terminations of pregnancy and 33% recurrence of acute salpingitis. The majority of the ectopic pregnancies were located in the tube. Abdominal pregnancy was observed in three women, one of whom delivered, with the aid of laparotomy, a live infant. All the women reported pelvic pain, whereas shock appeared in only 23% of the cases. Culdocentesis gave false negative results in 14.15% of the cases. Preoperative diagnosis was based on laparoscopy in 28 cases. Dilatation and curettage (D and C) with endometrial biopsy disclosed decidual endometrium without chorionic villi in 37% and Arias-Stella cells in 68% of cases. Salpingectomy was performed in 52% of the cases, and plastic surgery of the tube in 16%.
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PMID:Ectopic pregnancy: outcome of 152 cases. 722 61

The knowledge needed to formulate proper indications for hysterectomy include a thorough understanding of the physiology and pathology of the female reproductive organs, the clinical manifestations of pelvic disease, and normal and abnormal psycho/social/sexual development. This basic and thorough knowledge and understanding is the absolute foundation on which to base the practice of gynecologic surgery. After the right operation has been selected for operation, the right operation must be selected for the patient. The successful practice of gynecologic surgery also requires proper preparation of the patient for the operation, proper performance of the operation, and proper postoperative care. A competent gynecologist who has followed a patient for several years, has kept careful records of findings and treatment, and has the patient's full confidence is most likely able to make the most accurate judgment about the necessity for hysterectomy. Yet, in most circumstances a 2nd opinion should still be sought. Apprpriate indications for hysterectomy include benign uterine disease and/or symptoms -- dysfunctional uterine bleeding; uterine pain, bleeding, and enlargement; uterine descensus and prolaspe; uterine leiomyomas; septic abortions; and obstetric catastrophs. Other indications include benign diseases of the tubes and ovaries in which the uterus is not primarily involved -- pelvic inflammatory disease, pelvic endometriosis, and ectopic pregnancy -- and neoplastic disease, namely, cervical intraepithelial carcinoma (carcinoma in situ), early invasive cervical cancer, endometrial adenocarcinoma and sarcoma, trophoblastic disease, ovarian and fallopian tube neoplasms, and malignant disease of other adjacent organs. Miscellaneous and usual indications for hysterectomy include cervical problems such as servical stenosis with recurring pyometra following unsuccessful attempts to keep the cervix open, chronic pelvic pain, pelvic congestion syndrome, and surgical sterilization. A partial list of inappropriate indications for hysterectomy includes prophylaxis against uterine cancer, contraception in a gynecologically normal patient, management of the menopause, leukorrhea and chronic cervictis, primary dysmenorrhea and premenstrual tension, mild urinary incontinence, postmenopausal bleeding, abnormal vaginal/cervical cytology, and cervical dysplasia.
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PMID:Indications of hysterectomy. 733 47

6 cases of ovarian pregnancy were reviewed and their relationship with the IUD, fibromyoma of the uterus, and previous spontaneous abortion was examined. 5 of the patients had in situ IUDs, and 1 patient was treated in conjunction with a 20 week size fibroid uterus. 1 of the patients with an IUD also had a fibroid uterus. 4 of the women had spontaneous abortions in their past history. All cases met Spiegelberg's requirements for the diagnosis of ovarian pregnancy. The 6 cases are summarized in table form. During the 4 year period that these 6 patients were treated, a total of 59 ectopic pregnancies were treated at the Hasharon Hospital in Petah-Tikva, Israel. 18 or 30.5% occurred in patients with in situ IUDs. Ovarian pregnancies constituted 10.2% of all the ectopic pregnancies and 20% of the ectopic pregnancies in the group of patients using IUDs. The possibility that the IUD may potentiate ovarian nidation must be considered. It has been suggested that the IUD causes changes in the synthesis of prostaglandins so that tubal peristalsis is increased, and this could increase the incidence of both tubal and ovarian pregnancies. 2 of the patients were initially treated for vaginal bleeding and pelvic pain by removal of their IUDs, and the proper treatment was delayed for 14 days. The ovarian pregnancy in the patient with the fibroid uterus was diagnosed only after histological examination of an incidental hemorrhagic mass found at laparotomy. The series of 6 cases of ovarian ectopic pregnancy seems to confirm the association, and it must also be noted that mild chronic salpingitis was reported on histopathological examination in only 1 case. No conclusion can be reached on the basis of such a small group of patients.
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PMID:Ovarian pregnancy: association with IUD, pelvic pathology and recurrent abortion. 733 10

The published literature reports an increase of ectopic pregnancies in patients wearing an IUD. Over the total number of pregnancies with IUD in situ, ectopic pregnancies account for about 10-17%. The incidence is lower for the first 6 months after insertion, and higher after that. The mechanism responsible for extrauterine pregnancies can be the appearance of infectious lesions in the genital tract, or the slow and continuous secretion of prostaglandin promoted by the presence of the IUD. Diagnosis of ectopic pregnancy is not always easy, and it usually follows episodes of pelvic pain and metrorrhagia.
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PMID:[Extrauterine pregnancies in patients with intrauterine devices (apropos of 9 cases)]. 744 33

Infection with Chlamydia trachomatis can be either symptomatic or asymptomatic. In adults, complications include infertility, chronic pelvic pain and ectopic pregnancy. Complications in newborns include conjunctivitis and pneumonia. Screening of asymptomatic women at high risk for the disease can identify candidates for antibiotic therapy. Until recently, chlamydia cell culture was the only diagnostic test and it was not widely available. Because the specificity of cell culture is 100 percent, it remains the standard against which other tests are measured. The recent development of nonculture tests makes it feasible for most laboratories and physicians' offices to offer testing. The main disadvantage of nonculture tests is low specificity. A positive screening test in a woman at low risk should be confirmed by a second test. Routine screening and treatment of patients who are at high risk can decrease the incidence, complications and transmission of chlamydial infection.
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PMID:Screening for Chlamydia trachomatis infection. 760 79

Presented here are three cases of missed ectopic pregnancy which occurred within a four month period in Alabama. In two cases the patients expired. In the third case, following a D&C, continued pelvic pain prompted a repeat pregnancy test and ultrasound, during which ectopic pregnancy was diagnosed. All three of the patients had state of the art ultrasound examinations. An emphasis is placed on interpretation of the examinations and correlation with clinical data.
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PMID:Missed ectopic pregnancies: a report of three cases. 794 92

Five hundred and nine Laparoscopic examinations performed between 1987-91, (147 procedures for evaluation of gynaecologic pelvic pain and 313 for infertility) revealed ectopic pregnancy (27%), twisted ovarian cyst (18%) and acute pelvic inflammatory disease (14%) in cases of acute gynaecologic pain, and endometriosis (17%) and chronic pelvic inflammatory disease (16%) in chronic pelvic pain. Adhesions (20%), tubal block (15%), endometriosis (9%) and polycystic ovary (7%) were common findings in cases of infertility. These data support the usefulness of this minimally invasive procedure in accurate diagnosis of gynaecological disorders and provides insight into the spectra of diseases seen in Pakistani women with pelvic pain and infertility.
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PMID:Laparoscopic appraisal of infertility and pelvic pain in Pakistani women: a 5 years audit. 804 Sep 92


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