Laparoscopic adhesiolysis and relief of chronic pelvic pain.

Farr Nezhat, R A Crystal, C.H. Nezhat, Ceana Nezhat
In: JSLS : Journal of the Society of Laparoendoscopic Surgeons · 2000 · vol. 4(4) , pp. 281–5 · PMID:11051185 · W77663847
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

Laparoscopic enterolysis provided significant pain relief for 39% of patients in the short term and 37% in the long term, with some requiring repeat procedures.

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Abstract

OBJECTIVE: To evaluate the short- and long-term results of laparoscopic enterolysis in patients with chronic pelvic pain following hysterectomy. METHODS: Forty-eight patients were evaluated at time intervals from 2 weeks to 5 years after laparoscopic enterolysis. Patients were asked to rate postoperative relief of their pelvic pain as complete/near complete relief (80-100% pain relief), significant relief (50-80% pain relief), or less than 50% or no pain relief. RESULTS: We found that after 2 to 8 weeks, 39% of patients reported complete/near complete pain relief, 33% reported significant pain relief, and 28% reported less than 50% or no pain relief. Six months to one year postlaparoscopy, 49% of patients reported complete/near complete pain relief, 15% reported significant pain relief, and 36% reported less than 50% or no pain relief. Two to five years after laparoscopic enterolysis, 37% of patients reported complete/near complete pain relief, 30% reported significant pain relief, and 33% reported less than 50% or no pain relief. Some patients required between 1 and 3 subsequent laparoscopic adhesiolysis. A total of 3 enterotomies and 2 cystotomies occurred, all of which were repaired laparoscopically. CONCLUSION: We conclude that laparoscopic enterolysis may offer significant long-term relief of chronic pelvic pain in some patients.

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chronic_pelvic_pain

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