Laparoscopic adhesiolysis for chronic abdominal pain: An objective assessment

Citation
Aja. Bremers et al., Laparoscopic adhesiolysis for chronic abdominal pain: An objective assessment, J LAP ADV A, 10(4), 2000, pp. 199-202
Citations number
19
Categorie Soggetti
Surgery
Journal title
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES-PART A
ISSN journal
10926429 → ACNP
Volume
10
Issue
4
Year of publication
2000
Pages
199 - 202
Database
ISI
SICI code
1092-6429(200008)10:4<199:LAFCAP>2.0.ZU;2-E
Abstract
Background and Purpose: Postoperative adhesions frequently occur and can ac count for various symptoms, including chronic abdominal pain. Conventional adhesiolysis by laparotomy results in an unacceptably high rate of recurren ce. A minimally invasive procedure (laparoscopic adhesiolysis) might improv e the outcome by inflicting less surgical trauma, but well-documented repor ts focused on laparoscopic adhesiolysis for chronic abdominal pain are lack ing. Patients and Methods: Twelve consecutive patients with chronic abdominal pa in caused by adhesions who were treated by laparoscopic adhesiolysis were a ssessed preoperatively and during a 1-year follow-up period applying valida ted scoring systems: McGill and SLC-90 tests to evaluate personalities and MOS SF-36 and GIQLI questionnaires for the quality of life assessments. Results: No psychological influences were identified, Only two patients exp erienced a lasting improvement in quality of life, and five patients had mo re or less stable complaints. Five patients required laparotomy within a ye ar after laparoscopic adhesiolysis, Conclusions: Laparoscopic adhesiolysis has yet not passed the stage of clin ical trial and requires objective evaluation, including detailed informatio n on recurrence and de novo adhesions in correlation with clinical outcome.