Book contents
- Management of Chronic Pelvic Pain
- Management of Chronic Pelvic Pain
- Copyright page
- Contents
- Contributors
- Foreword
- Chapter 1 Introduction to Chronic Pelvic Pain
- Chapter 2 Neurobiological Basis of Pelvic Pain
- Chapter 3 History and Evaluation of Patients with Chronic Pelvic Pain
- Chapter 4 Psychological Assessment of a Female Patient with Chronic Pelvic Pain
- Chapter 5 Musculoskeletal Assessment for Patients with Pelvic Pain
- Chapter 6 Pharmacological Management of Patients with Pelvic Pain
- Chapter 7 Evidence for Surgery for Pelvic Pain
- Chapter 8 Pelvic Pain Arising from Endometriosis
- Chapter 9 Bladder Pain Syndrome
- Chapter 10 Pelvic Pain Arising from Pelvic Congestion Syndrome
- Chapter 11 Irritable Bowel Syndrome
- Chapter 12 Vulvodynia
- Chapter 13 Pelvic Pain Arising from Adhesive Disease
- Chapter 14 Pelvic Pain Arising from Ovarian Remnant Syndrome
- Chapter 15 Pudendal Neuralgia
- Chapter 16 Other Peripheral Pelvic Neuralgias
- Chapter 17 Chronic Pain After Gynecological Surgery
- Chapter 18 Pain Arising from Pelvic Mesh Implants
- Chapter 19 Treatment of Sexual Dysfunction Arising from Chronic Pelvic Pain
- Chapter 20 Physical Therapy Interventions for Musculoskeletal Impairments in Pelvic Pain
- Chapter 21 If Everything Else Fails
- Index
- References
Chapter 13 - Pelvic Pain Arising from Adhesive Disease
Published online by Cambridge University Press: 08 March 2021
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Book contents
- Management of Chronic Pelvic Pain
- Management of Chronic Pelvic Pain
- Copyright page
- Contents
- Contributors
- Foreword
- Chapter 1 Introduction to Chronic Pelvic Pain
- Chapter 2 Neurobiological Basis of Pelvic Pain
- Chapter 3 History and Evaluation of Patients with Chronic Pelvic Pain
- Chapter 4 Psychological Assessment of a Female Patient with Chronic Pelvic Pain
- Chapter 5 Musculoskeletal Assessment for Patients with Pelvic Pain
- Chapter 6 Pharmacological Management of Patients with Pelvic Pain
- Chapter 7 Evidence for Surgery for Pelvic Pain
- Chapter 8 Pelvic Pain Arising from Endometriosis
- Chapter 9 Bladder Pain Syndrome
- Chapter 10 Pelvic Pain Arising from Pelvic Congestion Syndrome
- Chapter 11 Irritable Bowel Syndrome
- Chapter 12 Vulvodynia
- Chapter 13 Pelvic Pain Arising from Adhesive Disease
- Chapter 14 Pelvic Pain Arising from Ovarian Remnant Syndrome
- Chapter 15 Pudendal Neuralgia
- Chapter 16 Other Peripheral Pelvic Neuralgias
- Chapter 17 Chronic Pain After Gynecological Surgery
- Chapter 18 Pain Arising from Pelvic Mesh Implants
- Chapter 19 Treatment of Sexual Dysfunction Arising from Chronic Pelvic Pain
- Chapter 20 Physical Therapy Interventions for Musculoskeletal Impairments in Pelvic Pain
- Chapter 21 If Everything Else Fails
- Index
- References
Summary
Treatment of pain caused by abdominal and pelvic adhesions is possibly one of the most controversial issues among physicians taking care of patients with pelvic pain, and science is not helpful. There are publications that show that adhesions do not cause pain and others that show they do. The same goes for usefulness of adhesiolysis to relieve that pain. This discrepancy may be due to the fact that some surgeons preform more complete adhesiolysis than others and that coexisting pain conditions may be an additional confounding factor. I believe that certain adhesions cause pain and, in many cases, adhesiolysis is helpful. Laparoscopic or robotic adhesiolysis is a preferred way because chances of recurrence of adhesions is decreased. This may be due to the fact that CO2 prevents fibroblast migration. Risks of adhesiolyis including a risk of unrecognized bowel injury have to be very clearly explained to the patient and this procedure should be performed only by a skilled surgeon.
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- Management of Chronic Pelvic PainA Practical Manual, pp. 145 - 149Publisher: Cambridge University PressPrint publication year: 2021
References
van Goor, H. Consequences and complications of peritoneal adhesions. Colorect Dis. 2007;9(s2):25–34.Google Scholar
Howard, FM. The role of laparoscopy as a diagnostic tool in chronic pelvic pain. Best Pract Res Clin Obstet Gynaecol. 2000;14(3):467–94.Google Scholar
González-Quintero, VH, Cruz-Pachano, FE. Preventing adhesions in obstetric and gynecologic surgical procedures. Rev Obstet Gynecol. 2009;2(1):38.Google Scholar
Holmdahl, L, Ivarsson, M. The role of cytokines, coagulation, and fibrinolysis in peritoneal tissue repair. Eur J Surgery. 1999;165(11):1012–19.Google Scholar
Weibel, M-, Majno, G. Peritoneal adhesions and their relation to abdominal surgery. Am J Surg. 1973;126(3):345–53.Google Scholar
Monk, BJ, Berman, ML, Montz, FJ. Adhesions after extensive gynecologic surgery: clinical significance, etiology, and prevention. Am J Obstet Gynecol. 1994;170(5 Pt 1):1396–403.Google Scholar
Ward, BC, Panitch, A. Abdominal adhesions: current and novel therapies. J Surg Res. 2011;165(1):91–111.Google Scholar
Golan, A, Bernstein, T, Wexler, S, Neuman, M, Bukovsky, I, David, MP. The effect of prostaglandins and aspirin: an inhibitor of prostaglandin synthesis–on adhesion formation in rats. Hum Reprod (Oxf). 1991;6(2):251–4.CrossRefGoogle ScholarPubMed
Kresch, A, Seifer, D, Sachs, L, Barrese, I. Laparoscopy in 100 women with chronic pelvic pain. Obstet Gynecol. 1984;64(5):672–4.Google ScholarPubMed
Stovall, TG, Elder, RF, Ling, FW. Predictors of pelvic adhesions. J Reprod Med. 1989;34(5):345.Google ScholarPubMed
Keltz, MD, Peck, L, Liu, S, Kim, AH, Arici, A, Olive, DL. Large bowel-to-pelvic sidewall adhesions associated with chronic pelvic pain. Am Assoc Gynecol Laparosc. 1995;3(1):55–9.Google Scholar
Cunanan, RG, Courey, NG, Lippes, J. Laparoscopic findings in patients with pelvic pain. Am J Obstet Gynecol. 1983;146(5):589–91.CrossRefGoogle ScholarPubMed
Zondervan, KT, Yudkin, PL, Vessey, MP, et al. Chronic pelvic pain in the community: symptoms, investigations, and diagnoses. Am J Obstet Gynecol. 2001;184(6):1149–55.CrossRefGoogle ScholarPubMed
Mathias, SD, Kuppermann, M, Liberman, RF, Lipschutz, RC, Steege, JF. Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates. Obstet Gynecol. 1996;87(3):321–7.Google Scholar
Apte, G, Nelson, P, Brismée, J, Dedrick, G, Justiz, R, Sizer, PS. Chronic female pelvic pain-part 1: Clinical pathoanatomy and examination of the pelvic region. Pain Pract. 2012;12(2):88–110.Google Scholar
Steege, JF, Stout, AL. Resolution of chronic pelvic pain after laparoscopic lysis of adhesions. Am J Obstet Gynecol. 1991;165(2):278–83.CrossRefGoogle ScholarPubMed
Hammoud, A, Gago, LA, Diamond, MP. Adhesions in patients with chronic pelvic pain: a role for adhesiolysis? Fertil Steril. 2004;82(6):1483–91.Google Scholar
Tulandi, T, Chen, MF, Al-Took, S, Watkin, K. A study of nerve fibers and histopathology of postsurgical, postinfectious, and endometriosis-related adhesions. Obstet Gynecol. 1998;92(5):766–8.Google ScholarPubMed
Kligman, I, Drachenberg, C, Papadimitriou, J, Katz, E. Immunohistochemical demonstration of nerve fibers in pelvic adhesions. Obstet Gynecol. 1993;82(4):566–8.Google Scholar
Cheong, Y, Stones, RW. Chronic pelvic pain: aetiology and therapy. Best Pract Res Clin Obstet Gynaecol. 2006;20(5):695–711.Google Scholar
Steege, J. Repeated clinic laparoscopy for the treatment of pelvic adhesions: a pilot study. Obstet Gynecol. 1994;83(2):276–279.Google Scholar
Tulandi, T, Murray, C, Guralnick, M. Adhesion formation and reproductive outcome after myomectomy and second-look laparoscopy. Obstet Gynecol. 1993;82(2):213.Google ScholarPubMed
Tulandi, T, Al-Jaroudi, D. Nonclosure of peritoneum: a reappraisal. Am J Obstet Gynecol. 2003;189(2):609–12.Google Scholar
Diamond, MP, Decherney, AH. Pathogenesis of adhesion formation/reformation: application to reproductive pelvic surgery. Microsurgery. 1987;8(2):103–7.CrossRefGoogle ScholarPubMed
Malik, E, Berg, C, Meyhöfer-Malik, A, Haider, S, Rossmanith, W. Subjective evaluation of the therapeutic value of laparoscopic adhesiolysis. Surg Endosc. 2000;14(1):79–81.Google Scholar
The International Pelvic Pain Society. Pelvic pain assessment form. https://pelvicpain.org/IPPS/Professional/Documents-Forms/IPPS/Content/Professional-Patients/Documents_and_Forms.aspx?hkey=2597ab99-df83-40ee-89cd-7bd384efed19Google Scholar
Swank, D, Swank-Bordewijk, S, Hop, W, et al. Laparoscopic adhesiolysis in patients with chronic abdominal pain: a blinded randomised controlled multi-centre trial. Lancet. 2003;361(9365):1247–51.Google Scholar
Peters, AA, Trimbos-Kemper, GC, Admiraal, C, Trimbos, JB, Hermans, J. A randomized clinical trial on the benefit of adhesiolysis in patients with intraperitoneal adhesions and chronic pelvic pain. Br J Obstet Gynaecol. 1992;99(1):59–62.Google Scholar
Sallinen, V, Di Saverio, S, Haukijärvi, E, et al. Laparoscopic versus open adhesiolysis for adhesive small bowel obstruction (LASSO): an international, multicentre, randomised, open-label trial. Lancet Gastroenterol Hepatol. 2019;4(4):278–86.Google Scholar
Pickett, SD, Rodewald, KJ, Billow, MR, Giannios, Hurd, William, W. Avoiding major vessel injury during laparoscopic instrument insertion. Obstet Gynecol Clin. 2010;37(3):387–97.CrossRefGoogle ScholarPubMed
Senapati, S, Atashroo, D, Carey, E, Dassel, M, Tu, FF. Surgical interventions for chronic pelvic pain. Curr Opin Obstet Gynecol. 2016;28:290–6.CrossRefGoogle ScholarPubMed
Luciano, DE, Luciano, AA, Roy, G. Adhesion reformation after laparoscopic adhesiolysis: where, what type, and in whom they are most likely to recur. J Minim Invasive Gynecol. 2008;15(1):44–8.Google Scholar
Ahmad, G, O’Flynn, H, Hindocha, A, Watson, A. Barrier agents for adhesion prevention after gynaecological surgery. Cochrane Database Syst Rev. 2015(4):CD000475.Google Scholar
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