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Diagnostic laparoscopy and adhesiolysis: does it help with complex abdominal and pelvic pain syndrome (CAPPS) in general surgery?
- Source :
- JSLS : Journal of the Society of Laparoendoscopic Surgeons
- Publication Year :
- 2011
-
Abstract
- This study was conducted to determine if lysis of bowel adhesions has a role in the surgical management of adhesions for treating complex abdominal and pelvic pain syndrome.<br />Abdominal pains secondary to adhesions are a common complaint, but most surgeons do not perform surgery for this complaint unless the patient suffers from a bowel obstruction. The purpose of this evaluation was to determine if lysis of bowel adhesions has a role in the surgical management of adhesions for helping treat abdominal pain. The database of our patients with complex abdominal and pelvic pain syndrome (CAPPS) was reviewed to identify patients who underwent a laparoscopic lysis of adhesion without any organ removal and observe if they had a decrease in the amount of abdominal pain after this procedure. Thirty-one patients completed follow-up at 3, 6, 9, and 12 months. At 6, 9, and 12 months postoperation, there were statistically significant decreases in patients' analog pain scores. We concluded that laparoscopic lysis of adhesions can help decrease adhesion-related pain. The pain from adhesions may involve a more complex pathway toward pain resolution than a simple cutting of scar tissue, such as “phantom pain” following amputation, which takes time to resolve after this type of surgery.
- Subjects :
- Pelvic pain syndrome
Adult
Male
Abdominal pain
medicine.medical_specialty
Adolescent
medicine.medical_treatment
Adhesions
Adhesion (medicine)
Diagnostic laparoscopy
Tissue Adhesions
Pelvic Pain
Young Adult
medicine
Scientific Papers
Humans
In patient
Retrospective Studies
Pain, Postoperative
business.industry
General surgery
Syndrome
Middle Aged
medicine.disease
Surgery
Bowel obstruction
Amputation
Chronic Disease
Female
Laparoscopy
medicine.symptom
business
Phantom pain
Algorithms
Subjects
Details
- ISSN :
- 10868089
- Volume :
- 15
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- JSLS : Journal of the Society of Laparoendoscopic Surgeons
- Accession number :
- edsair.doi.dedup.....f3157eb271930d08044f42fad311b804