ROLE OF DIAGNOSTIC LAPAROSCOPY IN CHRONIC PELVIC PAIN AND ITS COMPARISON WITH TVS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 10
Abstract
BACKGROUND Chronic pain is a common gynaecological problem. The causes of CPP are numerous like gynaecological causes or nongynaecological causes, but CPP is very difficult to diagnose. So, aim of the study is to evaluate the use of TVS based on hard and soft markers in detection of pelvic pathology in women with chronic pelvic pain and compare it with laparoscopy for knowing sensitivity and specificity. MATERIALS AND METHODS Study was hospital based. Total number of women taken were 220, who were attending regular outdoor in Mahatma Gandhi Medical College and Hospital, Jaipur with history of Chronic Pelvic Pain (CPP). Age group was 18 - 50 years. RESULTS This study was carried out in Mahatma Gandhi Medical College and Hospital, Jaipur during October 2010 to October 2012. There was a statistically significant association between TVS based hard markers and laparoscopic findings. Out of 120 cases of abnormal scan of TVS 116 were abnormal on laparoscopy,thereby showing PPV of 93.55%. TVS based hard markers had higher Specificity (73.33%) and Sensitivity (61.05%). CONCLUSION Though laparoscopy is the gold standard for diagnosis of chronic pelvic pain, it is concluded that TVS with use of hard and soft tissue markers is very useful in diagnosis of Chronic Pelvic Pain.
Authors and Affiliations
Naruka Nisha, Acharya Veena, Mishra Hemant, Meena Ashok
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