The role of laparoscopic adhesiolysis in chronic abdominal pain.

Abstract:

BACKGROUND:Intraperitoneal adhesions seem to be a possible cause of chronic abdominal pain, but reports of their etiological role are controversial. Laparoscopic adhesiolysis has been proposed as treatment of choice, even tough reports of success are contradictory. The aim of our prospective study, was to determine whether laparoscopic adhesiolysis ameliorates chronic abdominal pain in patients with pathological abdominal adhesions. METHODS:Forty-five patients with chronic abdominal pain, lasting for more than 6 months, without abnormal findings other than pathological intraperitoneal adhesions found at laparoscopy, underwent laparoscopic adhesiolysis. RESULTS:Forty-one patients (91.1%) were available for follow-up after an average time interval of 18 months (range: 12-41 months): 24 patients (58.5%) were free from abdominal pain; 10 (24.4%) reported significant amelioration of pain, while 7 (17.1%) patients had no amelioration. CONCLUSIONS:Laparoscopy is an efficient means of assessing patients with chronic abdominal pain, and laparoscopic adhesiolysis cures or ameliorates. Chronic abdominal pain in more than 80% of patients.

journal_name

Minerva Chir

journal_title

Minerva chirurgica

authors

Schietroma M,Carlei F,Altilia F,Carloni A,Mattucci S,Agnifili A,Maira E,Antonellis M

keywords:

subject

Has Abstract

pub_date

2001-10-01 00:00:00

pages

461-5

issue

5

eissn

0026-4733

issn

1827-1626

journal_volume

56

pub_type

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