SCIENTIFIC PAPER Prospective Randomized Trial of Right-Sided Paracolic Adhesiolysis for Chronic Pelvic Pain

Background: Prior study has shown that right paracolic adhesions are found in 90 % of patients with chronic pelvic pain and less frequently in pain-free patients. We set out to determine whether paracolic adhesiolysis will reduce site-specific pain. Methods: This was a prospective, randomized trial of right paracolic adhesiolysis at the time of diagnostic and operative laparoscopy for chronic pelvic pain. Twentyfive patients with a diagnosis of chronic pelvic pain were randomized to either undergo or withhold lysis of right paracolic adhesions at the time of operative laparoscopy. Results: Right paracolic adhesions were found in 100 % of our patients. For all subjects, there was a significant reduction of right and left lower quadrant pain (P�0.001) following