7. Chronic Pelvic Pain and Adhesions

  1. Paolo Vercellini
  1. Michael P. Diamond MD,
  2. Manvinder Singh MD and
  3. Elizabeth E. Puscheck MD

Published Online: 21 MAR 2011

DOI: 10.1002/9781444391855.ch7

Chronic Pelvic Pain

Chronic Pelvic Pain

How to Cite

Diamond, M. P., Singh, M. and Puscheck, E. E. (2011) Chronic Pelvic Pain and Adhesions, in Chronic Pelvic Pain (ed P. Vercellini), Blackwell Publishing Ltd., Oxford, UK. doi: 10.1002/9781444391855.ch7

Editor Information

  1. Istituto “Luigi Mangiagalli”, Fondazione IRCCS Ca' Granda, University of Milan, Italy

Author Information

  1. Wayne State University School of Medicine/Detroit Medical Center, Detroit, Michigan, USA

Publication History

  1. Published Online: 21 MAR 2011
  2. Published Print: 23 MAR 2011

Book Series:

  1. Gynecology in Practice

Book Series Editors:

  1. Aydin Arici

ISBN Information

Print ISBN: 9781444330663

Online ISBN: 9781444391855

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Keywords:

  • Chronic Pelvic Pain and Adhesions;
  • “placebo effect”;
  • “incidental adhesions”;
  • Relationship of adhesion to pelvic pain;
  • Clinical trials examining efficacy of adhesiolysis

Summary

Postoperative adhesions develop in the overwhelming majority of women after both open and laparoscopic surgical procedures. Such adhesions may be a major contributing factor to chronic pelvic pain but often coexist with other pathologic processes such as endometriosis. Studies examining the value of adhesiolysis for reduction of pelvic pain have failed to demonstrate major benefit, but likely are constrained by the high incidence of adhesion reformation and the difficulty in successfully reducing the development of postoperative adhesions. The use of antiadhesion adjuvants in combination with adhesiolysis may offer benefit in future studies, particularly as the efficacy of surgical approaches, equipment, and adjuvants in reducing postoperative adhesions is enhanced.