[Pelviscopic adhesiolysis in chronic pelvic pain--laser versus conventional techniques]

Abstract

In 74 patients suffering from chronic pain in the lower abdomen and highly vascularised or involved adhesion of organs, as the only pathological finding, pelviscopic adhesiolysis was performed with conventional pelviscopic techniques, whereas, in 69 patients, a YAG contact laser was employed. At discharge from hospital 3-5 days later, more than 80% of the patients were free from complaints or stated a slight relief. At follow-up after 6 months, the respective figures in both groups were reduced to 49% and 52%. Almost 30% of the patients, who had reported short-term relief, finally renewed their complaints. Laser can offer advantages, with respect to surgical techniques employed in pelviscopic adhesiolysis. It enables cutting practically without bleeding, with a narrow lateral zone of necrosis, and can therefore be employed, even closely adjacent to the intestine. There were also no significant differences in respect of recurrences of adhesions in repelviscopy, after pelviscopic laser adhesiolysis, compared with conventional techniques.