Chronic Pelvic Pain and Adhesions

In: Chronic Pelvic Pain · 2011 · pp. 71–76 · doi:10.1002/9781444391855.ch7 · W1522805019
other OA: closed CC0 ⤵ 1 in-corpus citation
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AI-generated summary by claude@2026-06, 2026-06-09

This paper reviews the role of postoperative adhesions in chronic pelvic pain, notes the challenges and limited success of adhesiolysis, and suggests antiadhesion adjuvants may improve outcomes.

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Abstract

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.

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endometriosischronic_pelvic_pain

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License: CC0 · commercial use OK