Pelvic adhesions

Role of Laparoscopy in Identifying the Clinical Significance and Cause of Adhesions and Chronic Pelvic Pain: a Retrospective Review at the Kiel School of Gynecological Endoscopy

OBJECTIVES We sought to define the role of laparoscopy in identifying the clinical significance, cause, and association between adhesions and chronic pelvic pain. METHODS A retrospective chart review was conducted from October 2004 to July 2005, at the Kiel School of Gynecological Endoscopy, University Hospitals Schleswig-Holstein, Campus Kiel, Germany. Included in the study was the analysis ...

INTERGEL@ Adhesion Prevention Solution CLINICAL EXPERTS CONSENSUS REPORT ON SAFETY AND EFFECTIVENESS April 29,200l

INTRODUCTION j Postsurgical adhesions are a highly prevalent complication of abdominal and pelvic surgery,” generating significant morbidity. In major gynecologic surgery, post-operative adhesions are estimated to occur at a rate of 60-90% (Monk et al. 1994), with at least 15 20% of female infertility cases attributed to pelvic adhesions (Milingos et al. 2OOOb, Drollette and Badawy 1992). Posts...

Prospective Randomized Trial of Right-Sided Paracolic Adhesiolysis for Chronic Pelvic Pain

BACKGROUND Prior study has shown that right paracolic adhesions are found in 90% of patients with chronic pelvic pain and less frequently in pain-free patients. We set out to determine whether paracolic adhesiolysis will reduce site-specific pain. METHODS This was a prospective, randomized trial of right paracolic adhesiolysis at the time of diagnostic and operative laparoscopy for chronic pe...

Author’s response to reviews Title: Are pelvic adhesions associated the pain, physical, emotional and functional characteristics of women presenting with chronic pelvic pain? A cluster analysis Authors:

A Case of Disabling Urinary Frequency and Pelvic Pain Due to Postoperative Uterine Adhesions.

INTRODUCTION Dense lower abdominal adhesions are known to cause urinary frequency by restricting expansion of the bladder. However, since preoperative diagnosis of adhesions has been difficult and there are multiple other causes of urinary frequency, such patients may go undiagnosed. With the improving resolution of ultrasound, ever smaller pathologic structures may be visualized, particularly ...

Ultrasound mapping of pelvic endometriosis: does the location and number of lesions affect the diagnostic accuracy? a multicentre diagnostic accuracy study

BACKGROUND Endometriosis is a common condition which causes pain and reduced fertility. Treatment can be difficult, especially for severe disease, and an accurate preoperative assessment would greatly help in the managment of these patients. The objective of this study is to assess the accuracy of pre-operative transvaginal ultrasound scanning (TVS) in identifying the specific features of pelvi...