caa a22 4500 47577857X CHVBK 20180406123637.0 cr unu---uuuuu 170329e20000101xx s 000 0 eng 10.1007/s004649900017 doi (NATIONALLICENCE)springer-10.1007/s004649900017 Subjective evaluation of the therapeutic value of laparoscopic adhesiolysis [Elektronische Daten] A retrospective analysis [E. Malik, C. Berg, A. Meyhöfer-Malik, S. Haider, W. Rossmanith] Background: Adhesions are believed to be one of the principal causes of chronic pelvic pain. Although there may be some discrepancy between the degree of adhesions and the severity of the symptoms, surgical adhesiolysis is still considered to be useful for the relief of pain. Methods: A total of 187 patients who underwent laparoscopic adhesiolysis at the Medical University of Ulm, Germany, within a 2-year period were asked to rank their discomfort on a visual pain scale before surgery and up to 1 1/2 years postoperatively. Results: In this retrospective study, we found that nearly one-third of patients suffered from functional irritations that were either ameliorated or completely relieved by laparoscopic adhesiolysis. When other causes of chronic pain (such as endometriosis) are excluded, the results show that most patients benefited from laparoscopic adhesiolysis. Conclusions: It appears that laparoscopic adhesiolysis is an effective therapeutic measure to relieve chronic pelvic pain. Therefore, adhesiolysis should be performed in all patients with chronic or intermittent pain, and a complete lysis of adhesions should be planned. However, since pelvic pain may have organic or functional causes other than adhesions, complete adhesiolysis in patients with persistent pelvic pain may be of only limited importance. Springer-Verlag, 2000 Laparoscopy nationallicence Adhesiolysis nationallicence Pelvic pain nationallicence Abdomen nationallicence Malik E. Department of Obstetrics and Gynecology, Medical University of Lübeck, Ratzeburger Allee 160, D-23538, Lübeck, Germany aut Berg C. Department of Obstetrics and Gynecology, Medical University of Lübeck, Ratzeburger Allee 160, D-23538, Lübeck, Germany aut Meyhöfer-Malik A. Department of Obstetrics and Gynecology, Medical University of Lübeck, Ratzeburger Allee 160, D-23538, Lübeck, Germany aut Haider S. Department of Obstetrics and Gynecology, University of Ulm, Prittwitzstrasse 43, D-89075, Ulm, Germany aut Rossmanith W. Department of Obstetrics and Gynecology, University of Ulm, Prittwitzstrasse 43, D-89075, Ulm, Germany aut Surgical Endoscopy Springer-Verlag 14/1(2000-01-01), 79-81 0930-2794 14:1<79 2000 14 464 https://doi.org/10.1007/s004649900017 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004649900017 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Malik E. Department of Obstetrics and Gynecology, Medical University of Lübeck, Ratzeburger Allee 160, D-23538, Lübeck, Germany aut NATIONALLICENCE 700 1- Berg C. Department of Obstetrics and Gynecology, Medical University of Lübeck, Ratzeburger Allee 160, D-23538, Lübeck, Germany aut NATIONALLICENCE 700 1- Meyhöfer-Malik A. Department of Obstetrics and Gynecology, Medical University of Lübeck, Ratzeburger Allee 160, D-23538, Lübeck, Germany aut NATIONALLICENCE 700 1- Haider S. Department of Obstetrics and Gynecology, University of Ulm, Prittwitzstrasse 43, D-89075, Ulm, Germany aut NATIONALLICENCE 700 1- Rossmanith W. Department of Obstetrics and Gynecology, University of Ulm, Prittwitzstrasse 43, D-89075, Ulm, Germany aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/1(2000-01-01), 79-81 0930-2794 14:1<79 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer