[Retrospective study of pelviscopic adhesiolysis for treatment of chronic lower abdominal pain (January 1996-December 1997)]

A report is given about 486 patients, who were operated because of suspicion of adhesion in 74 cases (15.2%), of an adnexal tumor 116 (23.9%), endometriosis 9 (1.9%), infertility 24 (4.9%), irreversible contraception 42 (8.6%) or chronic abdominal pain in the lower abdomen 221 (45.5%). 89.1% of them suffered preoperatively of chronic abdominal pain. 350 (72%) patients had to be laparotomized once or several times. 326 women only had adhesions; adhesions and an adnexal tumor were found in 107 patients; 53 women had adhesions and endometriosis. Among the 326 women with adhesions only were about 45% with adhesions of first and just as many with second graduation, adhesions of third graduation were found in 10% of the patients. Adhesions of first graduation were solved completely in all cases, such of second graduation could be solved in 43% of cases completely and in 54% at least incompletely. Adhesions of third graduation were solved in most of the cases (74%) incompletely. 221 (67.8%) of the patients with adhesions only answered the questionnaires 8-10 months later. Two third of them were free from pain or stated a clear improvement. After complete adhesiolysis 70% of the women stated a positive result of operation, 57% after incomplete adhesiolysis.