Laparoscopic Management of Patients with Endometriosis and Chronic Pelvic Pain

Spyros Milingos; Athanasios Protopapas; Αθανάσιος Πρωτόπαπας; Peter Drakakis; Anthoula Liapi; Dimitrios Loutradis; George Kallipolitis; Dimitrios Milingos; Stylianos Michalas

doi:10.1196/annals.1290.030

Laparoscopic Management of Patients with Endometriosis and Chronic Pelvic Pain

Spyros Milingos, Athanasios Protopapas, Αθανάσιος Πρωτόπαπας, Peter Drakakis, Anthoula Liapi, Dimitrios Loutradis, George Kallipolitis, Dimitrios Milingos, Stylianos Michalas

Annals of the New York Academy of Sciences · 2003 · vol. 997(1) , pp. 269–273 · doi:10.1196/annals.1290.030 · PMID:14644834 · W2054715183

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⚙ AI-generated summary by claude@2026-06, 2026-06-06 ⓘ

Laparoscopic surgery can relieve chronic pelvic pain in women with endometriosis, including those with early-stage disease, by excising or destroying endometriotic implants.

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Abstract

Endometriosis has been traditionally included among the most important causes of chronic pelvic pain (CPP) in women of reproductive age. The main clinical manifestations of endometriosis are dysmenorrhea, dyspareunia, and chronic nonmenstrual pain. Despite the high prevalence of endometriosis in women suffering from CPP, controversy still exists regarding the true association between the stage and extent of this peculiar disease and the severity of pain. Over the last decade, advances in endoscopic technology have enabled gynecologic surgeons to recognize many atypical appearances of the endometriotic implants not known to exist before, thus allowing their complete excision or destruction. Laparoscopic surgery may offer considerable relief in patients with endometriosis and CPP. Although cases with advanced endometriosis seem to benefit the most, we also support surgical treatment in patients with early endometriosis diagnosed using laparoscopy, as many will experience improvement in their symptoms.

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Condition tags

mesh:D004715mesh:D017699endometriosischronic_pelvic_paindysmenorrheadyspareunia

MeSH descriptors

Endometriosis Endometriosis Laparoscopy Pelvic Pain Pelvic Pain Adult Aged Chronic Disease Endometriosis Endometriosis Female Follow-Up Studies Greece Humans Laparoscopy Middle Aged Pain Measurement Pelvic Pain Quality of Life Risk Assessment

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (31)

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Cited by (40)

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License: CC0 · commercial use OK

[1] Correlation between endometriosis and pelvic pain via openalex

[2] Correlation between endometriosis-associated dysmenorrhea and the presence of typical or atypical lesions via openalex

[3] Endometriosis-associated pelvic pain: evidence for an association between the stage of disease and a history of chronic pelvic pain via openalex

[4] Endometriosis: Conservative surgery for severe endometriosis: should laparotomy be abandoned definitively? via openalex

[5] Endoscopic treatment of advanced endometriosis with large endometriomata. Surgical technique via openalex

[6] Factors affecting postoperative pregnancy rate after endoscopic management of large endometriomata via openalex

[7] Focus on Primary Care: Chronic Pelvic Pain in Women via openalex

[8] Laparoscopy in 100 women with chronic pelvic pain via openalex

[9] Laparoscopy in 100 women with chronic pelvic pain. via openalex

[10] Menstrual symptoms in women with pelvic endometriosis via openalex

[11] Pain symptoms associated with endometriosis. via openalex

[12] Pelvic Pain Scores in Women without Pelvic Pathology via openalex

[13] Prospective, randomized, double-blind, controlled trial of laser laparoscopy in the treatment of pelvic pain associated with minimal, mild, and moderate endometriosis via openalex

[14] Retroperitoneal Endometriosis and Pelvic Pain: Results of Laparoscopic Uterosacral Ligament Resection According to the rAFS Classification and Histopathologic Results via openalex

[15] Surgery: Rectovaginal septum, endometriosis or adenomyosis: laparoscopic management in a series of 231 patients via openalex

[16] Surgical treatment for chronic pelvic pain. via openalex

[17] The resolution of chronic pelvic pain after normal laparoscopy findings via openalex

[18] The role of laparoscopy in the management of pelvic pain in women of reproductive age via openalex

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[26] W2335443539 via openalex

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[28] W2401134385 via openalex

[29] W6638321811 via openalex

[30] W6688251945 via openalex

[31] W170259557 via openalex