title: Long-term outcomes and quality of life after laparoscopic adhesiolysis for chronic abdominal pain.
abstract: OBJECTIVE
  To evaluate clinical outcome in terms of pain and quality of life after laparoscopic adhesiolysis.
  
  
  METHODS
  Prospective observational study (Canadian Task Force II-3).
  
  
  METHODS
  University-affiliated medical center.
  
  
  METHODS
  Twenty-three patients (22 women).
  
  
  METHODS
  Laparoscopic adhesiolysis for chronic abdominal pain.
  
  
  RESULTS
  Pain was assessed by validated McGill score. Patients with an intraindividual decrease in pain score of 5 points or more were considered successes. Quality of life was assessed by the SF-36 and gastrointestinal quality of life index. Patients were evaluated before and at intervals until 2 years after adhesiolysis. The mean pain score before adhesiolysis was 30.5 (range: 17-40). At 2 years of follow-up, 10 (45%) of 22 patients (95% CI 0.244-0.678) were considered successes. They reported significant improvement in quality of life on scales physical, role physical, and social function, and fewer gastrointestinal symptoms. Twelve women (55%) had a complete relapse, and most were not motivated to visit the pain clinic after 6 months.
  
  
  CONCLUSIONS
  Laparoscopic adhesiolysis for chronic abdominal pain was successful in only 45% of patients.
authors.affiliation: Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands.
authors.forename: M S
authors.initials: MS
authors.lastname: Dunker
authors.forename: W A
authors.initials: WA
authors.lastname: Bemelman
authors.forename: A
authors.initials: A
authors.lastname: Vijn
authors.forename: F W
authors.initials: FW
authors.lastname: Jansen
authors.forename: A A W
authors.initials: AA
authors.lastname: Peters
authors.forename: R A J
authors.initials: RA
authors.lastname: Janss
authors.forename: D J
authors.initials: DJ
authors.lastname: Gouma
mesh_terms: D000005:Abdomen / Q000601:surgery; D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D000368:Aged; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D010147:Pain Measurement; D011183:Postoperative Complications; D011788:Quality of Life; D012008:Recurrence; D000267:Tissue Adhesions / Q000601:surgery*