[Pelviscopic adhesiolysis. Successes in the treatment of chronic abdominal pain caused by adhesions in the lower and middle abdomen].
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.
Mecke
H
H
Abteilung Frauenheilkunde, Christian-Albrechts-Universität Kiel.
Semm
K
K
Lehmann-Willenbrock
E
E
D000005:Abdomen; D000328:Adult; D004322:Drainage / Q000295:instrumentation; D005260:Female; D005500:Follow-Up Studies; D005831:Genital Diseases, Female / Q000601:surgery*; D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy; D008875:Middle Aged; D010149:Postoperative Pain / Q000628:therapy*; D013536:Suture Techniques; D000267:Tissue Adhesions
Die pelviskopische Adhäsiolyse. Erfolge bei der Behandlung chronischer Unterbauchschmerzen bei Verwachsungen im Unter- und Mittelbauch.