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Chapter-07 Laparoscopic Adhesion Prevention

BOOK TITLE: State of the Art Atlas of Endoscopic Surgery in Infertility and Gynecology

Author
1. Diamond Michael P
2. Saed Ghassan
3. Shade George
4. Bieber Eric
ISBN
9788184489903
DOI
10.5005/jp/books/11190_7
Edition
2/e
Publishing Year
2010
Pages
5
Author Affiliations
1. Wayne State University Detroit, Michigan, USA, Wayne State University/Detroit Medical Center, Hutzel Hospital, 4707 St. Antoine Boulevard, Detroit, Michigan, USA
2. Wayne State University Detroit, Michigan, USA
3. Wayne State University Detroit, Michigan, USA, Wayne State University/Detroit Medical Center, Sinai-Grace Hospital, 6071 West Outer Drive, Detroit, Michigan 48235, USA
4. Geisinger Health System Clinic 100 North Academy Avenue Danville, Pennsylvania USA, Geisinger Health System Clinic, 100 North Academy Avenue, Danville, Pennsylvania, USA
Chapter keywords

Abstract

The most common reason for performing laparoscopic adhesiolysis is likely chronic pelvic abdominal pain. Many observational studies have suggested that laparoscopic adhesiolysis decrease pain. Malik and colleagues followed 187 patients who underwent laparoscopic adhesiolysis and found the method to be an “effective therapeutic measure”. Similarly, Nezhat evaluated chronic pelvic pain patients undergoing laparoscopic enterolysis who had prior hysterectomies. Two to five years after surgery they noted 37% of patients had complete or near complete pain relief, however 1/3 of patients reported less than 50% pain relief. More recently ovarian suspension procedures have been introduced in an attempt to reduce adhesion formation or reformation. Redwine reported no dense adhesions of the ovaries to the pelvic side wall after definitive suspension of the ovaries to the round ligament.

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