title: [Chronic recurrent abdominal pain--significance and success of laparoscopic/pelviscopic adhesiolysis].
abstract: The report is given about 154 patients, who were operated because of chronic abdominal pain in the lower abdomen 27 (17.5%), suspicion of adhesion 43 (27.9%), of an adnexal tumor 56 (33.8%), of endometriosis 5 (3.2%), sterility 11 (10%), or irreversible contraception 16 (7.2%). 112 patients had to be laparotomized once or several times. 105 women had only adhesion; adhesion and an adnexal tumor were found in 27 patients, 22 women had adhesion and endometriosis. Predominant were adhesions of second graduation, 72 women had these adhesions, nine of 105 patients had adhesions of first graduation, adhesions of third graduation had 24 patients. In the last group there was the greatest number of laparotomies. 95 patients answered the questionnaires six months later. 35 (36.8%) were free from pain, 13 (13.8%) stated a clear improvement, 38 (40%) were temporarily free from pain, and 9 (8.2%) stated unchanged pain. One woman complained postoperatively about clear aggravation of pain.
authors.affiliation: Frauenklinik und Endoskopiezentrum, Städtischen Heinrich-Braun-Klinikums Zwickau.
authors.forename: A
authors.initials: A
authors.lastname: Wipfli-Funke
authors.forename: J
authors.initials: J
authors.lastname: Heidrich
authors.forename: H H
authors.initials: HH
authors.lastname: Riedel
mesh_terms: D015746:Abdominal Pain / Q000209:etiology / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D002908:Chronic Disease; D004715:Endometriosis / Q000150:complications / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005831:Genital Diseases, Female / Q000150:complications / Q000601:surgery*; D005833:Genital Neoplasms, Female / Q000150:complications / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies; D000267:Tissue Adhesions