The influence of peritoneal endometriotic lesions on the generation of endometriosis-related pain and pain reduction after surgical excision

Andrea Kaiser, Andreas Kopf, Andreas Köpf, Christine Gericke, Julia Bartley, Sylvia Mechsner
Archives of gynecology and obstetrics · 2009 · vol. 280(3) , pp. 369–373 · doi:10.1007/s00404-008-0921-z · PMID:19148660 · W1980461056
article OA: closed CC0 ⤵ 11 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

This prospective study investigated how different endometriotic lesions, particularly peritoneal implants, influence pain and pain reduction after surgical excision in 44 patients.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This prospective study investigated how different types of endometriotic lesions, especially peritoneal endometriotic implants, influence pain generation and the magnitude of pain reduction after surgical excision. Fifty-one pre-menopausal patients undergoing laparoscopy for chronic pelvic pain, dysmenorrhoea and/or ovarian cysts were assessed with standardized pre- and post-operative pain scores using a visual analogue scale, and patients with peritoneal endometriosis were stratified by baseline pain score. Patients with peritoneal endometriosis and higher baseline pain (group A) and patients with endometriosis without peritoneal implants (group C) had postoperative pain score decreases of at least two grades, whereas patients without endometriosis (group D) showed no significant reduction. The paper frames this finding with the caveat that reductions were not seen in the no-endometriosis group, limiting interpretation of pain outcomes beyond those with diagnosed disease. This paper is centrally about endometriosis — it specifically evaluates how peritoneal endometriotic lesions affect endometriosis-related pain and pain change after surgical excision.

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Condition tags

mesh:D004412mesh:D004715mesh:D017699endometriosis

MeSH descriptors

Dysmenorrhea Endometriosis Ovarian Cysts Pelvic Pain Adult Chronic Disease Dysmenorrhea Dysmenorrhea Endometriosis Endometriosis Female Humans Laparoscopy Middle Aged Ovarian Cysts Ovarian Cysts Pain Measurement Pelvic Pain Pelvic Pain Peritoneum

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