The Journal of the American Association of Gynecologic Laparoscopists
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Evaluating patients with chronic pelvic pain is complex. A detailed medical history should be ideally supplemented by psychologic evaluation and assessment of the woman's social background. At the time of physical examination, the location and intensity of the pain should be mapped. ⋯ Management should address the underlying cause(s) of pain; when this cannot be done, it should focus on treating the pain itself. When appropriate, empiric administration of antidepressants may be considered. In selected women, therapeutic goals may be achieved by electrical stimulation of nerves.
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We developed a simplified technique for closing laparoscopic cannula sites. Its advantages are simplicity, speed, reproducibility, and cost-effectiveness. It requires no laparoscopic assistance or specialized instruments.