{"paper_id":"82b5f5b2-55c8-4fa6-aea1-45ee82ce275d","body_text":"Abstract\nAdhesions within the peritoneal cavity may occur secondary to endometriosis, pelvic inflammatory disease, the presence of foreign material (such as sutures) or any other cause of pelvic inflammation such as perforated appendix, or, most commonly, following intraabdominal surgery. Adhesions are known to be associated with infertility,1 and acute bowel obstruction, and they can dele-teriously alter the efficacy of intraperitoneal chemotherapy. In addition, a major impact is their supposed association with chronic pain of the abdominal and pelvic cavities. Most surgeons and gynecologists no doubt have performed laparotomy or laparoscopy and adhesiolysis for patients with known or suspected adhesions and chronic pain, and indeed many of these patients may have had symptomatic improvement following their surgery. We are uncertain if this results from the surgery itself or is a placebo effect. The aim of this chapter is to consider the available evidence and to try to determine if adhesions do indeed cause pain.\nPreview\nUnable to display preview. Download preview PDF.\nSimilar content being viewed by others\nReferences\ndiZerega GS. Biochemical events in peritoneal tissue repair. Eur J Surg 1997; S577:10–16.\nDiamond MP, De Cherney AH. Pathogenesis of adhesion formation/reformation: application to reproductive surgery. Microsurgery 1987; 8:103–107.\nMacDonald R, Sutton CJG. Adhesions and laser laparo-scopic adhesiolysis. In: Sutton CJG, ed. Lasers in Gynaecology. London: Chapman & Hall, 1992:95–113.\nKligman I, Drachenberg C, Papadimitriou J, Katz E. Im-munohistochemical demonstration of nerve fibers in pelvic adhesions. Obstet Gynecol 1993; 82:566–568.\nKresch AJ, Seifer DB, Sachs LB, Barrese I. Laparoscopy in 100 women with chronic pelvic pain. Obstet Gynecol 1984; 64:672–674.\nMonk BJ, Berman ML, Montz FJ. 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Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1194-5_28\nDownload citation\nDOI: https://doi.org/10.1007/978-1-4612-1194-5_28\nPublisher Name: Springer, New York, NY\nPrint ISBN: 978-1-4612-7040-9\nOnline ISBN: 978-1-4612-1194-5\neBook Packages: Springer Book Archive\nKeywords\nThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.","source_license":"CC0","license_restricted":false}