[Results of laparoscopic lysis of adhesions in patients with chronic pelvic pain]

Abstract

A report is made about 153 women patients who underwent laparoscopic adhesiolysis, and who underwent laparoscopy primarily because of unclear chronic pelvic pain (57.5%), suspected adhesion (13.1%) or sterility (11.7%). For 86.9% of the patients a complete and only for 13.1% an incomplete adhesiolysis was possible. Out of the 123 patients (80.4%) suffering from pain before adhesiolysis 99 (80.5%) patients could be reexamined by questionnaire one to eight years later. 38.0% suffered from no pain any longer, 20.2% stated a clear improvement, 25.5% being temporarily free from pain only, and 16.2% stated unchanged pain. Because of the results laparoscopic adhesiolysis is recommended for women patients with mere adhesions and chronic pelvic pain and for patients without pain with adhesions who are exposed to a danger of ileus.