[Pelviscopic adhesiolysis. Successes in the treatment of chronic abdominal pain caused by adhesions in the lower and middle abdomen]

Abstract

Inspecting 200 patients with abdominal pain pelviscopically, we found adhesions and no other pathology in 62 (32%). Three groups were defined according to the extent of the adhesions. In 52 patients (84%), complete adhesiolysis was achieved pelviscopically. At discharge 3-5 days post-operatively, 38 of these patients (73%) were free from complaints; in 15%, the pain had lessened. 6 months after pelviscopy, the patients were again asked about their complaints. 39 (75%) of the patients with complete adhesiolysis answered the questionnaire. 15 (38%) were completely free from complaints after 6 months; in 8 others, the pain had lessened; in 60% of them, the abdominal pain had lasted for more than 6 months. Our results justify an attempt at complete adhesiolysis in all patients with abdominal pain, if adhesions are detected pelviscopically.