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Chronic Pelvic Pain pp 101–119Cite as

Pain Associated with Pelvic Adhesive Disease

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Abstract

Formation of intraperitoneal adhesions may be often, but not always, traced back to peritoneal inflammation, such as that caused by abdominal or pelvic surgery, pelvic inflammatory disease, or endometriosis. Because the role of endometriosis is discussed at length elsewhere in this book, this chapter, under a broad heading of “pelvic adhesive disease”, will be focused on adhesions not related to endometriosis.

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References

  1. Goldstein DP, deCholnoky C, Emans SJ, et al. Laparoscopy in the diagnosis and management of pelvic pain in adolescents. J Reprod Med 1980; 24: 251–56.

    PubMed  CAS  Google Scholar 

  2. Drake TS, Grunert GM. The unsuspected pelvic factor in the infertility investigation. Fertil Steril 1980; 34: 27–31.

    PubMed  CAS  Google Scholar 

  3. Kresch AJ, Seifer DB, Sachs LB, et al. Laparoscopy in 100 women with chronic pelvic pain. Obstet Gynecol 1984; 64: 672–74.

    PubMed  CAS  Google Scholar 

  4. Rapkin AJ. Adhesions and pelvic pain: a retrospective study. Obstet Gynecol 1986; 68: 13–15.

    PubMed  CAS  Google Scholar 

  5. Vercellini P, Fedele L, Arcaini L, et al. Laparoscopy in the diagnosis of chronic pelvic pain in adolescent women. J Reprod Med 1989; 34: 827–30.

    PubMed  CAS  Google Scholar 

  6. Mahmood TA, Templeton AA, Thomson L, et al. Menstrual symptoms in women with pelvic endometriosis. Br Obstet Gynaecol 1991; 98: 558–63.

    Article  CAS  Google Scholar 

  7. Vercellini P, Fedele L, Molteni P, et al. Laparoscopy in the diagnosis of gynecologic chronic pelvic pain. Int J Gynaecol Obstet 1990; 32: 261–65.

    Article  PubMed  CAS  Google Scholar 

  8. Stovall TG, Elder RF, Ling FW. Predictors of pelvic adhesions. J Reprod Med 1989; 34: 345–48.

    PubMed  CAS  Google Scholar 

  9. Koninckx PR, Meuleman C, Demeyere S, et al. Suggestive evidence that pelvic endometriosis is a progressive disease, whereas deeply infiltrating endometriosis is associated with pelvic pain. Fertil Steril 1991; 55: 759–65.

    PubMed  CAS  Google Scholar 

  10. Steege JF, Stout AL. Resolution of chronic pelvic pain after laparoscopic lysis of adhesions. Am J Obstet Gynecol 1991; 165: 278–83.

    PubMed  CAS  Google Scholar 

  11. Kligman I, Drachenberg C, Papadimitriou J, et al. Immunohistochemical demonstration of nerve fibers in pelvic adhesions. Obstet Gynecol 1993; 82: 566–68.

    PubMed  CAS  Google Scholar 

  12. Stout AL, Steege JF, Dodson WC, et al. Relationship of laparoscopic findings to self-report of pelvic pain. Am J Obstet Gynecol 1991; 164: 73–79.

    PubMed  CAS  Google Scholar 

  13. Chan CL, Wood C. Pelvic adhesiolysis—the assessment of symptom relief by 100 patients. Aust NZ J Obstet Gynaecol 1985: 25: 295–98.

    Article  CAS  Google Scholar 

  14. Mecke H, Semm K, Lehmann-Willenbrock E. Pelviscopic adhesiolysis. Successes in the treatment of chronic abdominal pain caused by adhesions in the lower and middle abdomen. Geburtshilfe Frauenheilkd 1988; 48: 155–59.

    CAS  Google Scholar 

  15. Sutton C, MacDonald R. Laser laparoscopic adhesiolysis. J Gynecol Surg 1990; 6: 155.

    Article  PubMed  CAS  Google Scholar 

  16. Peters AA, Trimbos-Kemper GC, Admiraal C, et al. A randomized clinical trial on the benefit of adhesiolysis in patients with intraperitoneal adhesions and chronic pelvic pain. Br J Obstet Gynaecol 1992; 99: 59–62.

    Article  PubMed  CAS  Google Scholar 

  17. Tschudi J, Mueller M, Klaiber C. [Does laparoscopic lysis of adhesions make sense?] Schweiz Med Wochenschr 1993; 123: 1128–30.

    PubMed  CAS  Google Scholar 

  18. Baker PN, Symonds EM. The resolution of chronic pelvic pain after normal laparoscopy findings. Am J Obstet Gynecol 1992; 166: 835–36.

    PubMed  CAS  Google Scholar 

  19. Luciano AA, Maier DB, Koch El, et al. A comparative study of postoperative adhesions following laser surgery by laparoscopy versus laparotomy in the rabbit model. Obstet Gynecol 1989; 74: 220–24.

    PubMed  CAS  Google Scholar 

  20. Lundorff P, Hahlin M, Kallfelt B, et al. Adhesion formation after laparoscopic surgery in tubal pregnancy: a randomized trial versus laparotomy. Fertil Steril 1991; 55: 911–15.

    PubMed  CAS  Google Scholar 

  21. Palter SF, Olive DL. Office micro-laparoscopy under local anesthesia for chronic pain: utility, acceptance, and cost-benefit analysis. J Am Assoc Gynecol Laparoscopy 1996; 3: 359–64.

    Article  CAS  Google Scholar 

  22. Filmar S, Jetha N, McComb P, et al. A comparative histologie study of the healing process after tissue transection. I. Carbon dioxide laser and electromicrosurgery. Am J Obstet Gynecol 1989; 160: 1062–67.

    PubMed  CAS  Google Scholar 

  23. Filmar S, Jetha N, McComb P, et al. A comparative histologie study on the healing process after tissue transection. II Carbon dioxide laser and surgical microscissors. Am J Obstet Gynecol 1989; 160: 1068–72.

    PubMed  CAS  Google Scholar 

  24. Redwine D. Complications of sharp and blunt adhesiolysis. In: Corfman RS, Diamond MP, De Cherney AH, eds. Complications of Laparoscopy and Hyst-eroscopy. Boston, Blackwell Scientific Publications, 1993; pp 123–28.

    Google Scholar 

  25. Filmar S, Gomel V, McComb PF. Operative laparoscopy versus open abdominal surgery: a comparative study on postoperative adhesion formation in the rat model. Fertil Steril 1987; 48: 486–89.

    PubMed  CAS  Google Scholar 

  26. Operative Laparoscopy Study Group. Postoperative adhesion development after operative laparoscopy: evaluation at early second-look procedures. Fertil Steril 1991; 55: 700–704.

    Google Scholar 

  27. Al-Chalabi HA, Otubo JAM. Value of a single intraperitoneal dose of heparin in prevention of adhesion formation: an experimental evaluation in rats. Int J Fertil 1987; 32: 332–35.

    PubMed  CAS  Google Scholar 

  28. Pagidas K, Tulandi T. Effects of Ringer’ s lactate, Interceed(TC7) and Gore-Tex Surgical Membrane on postsurgical adhesion formation. Fertil Steril 1992; 57: 199–201.

    PubMed  CAS  Google Scholar 

  29. Yaacobi Y, Goldberg EP, Habal MB. Effect of Ringer’ s lactate irrigation in the formation of postoperative abdominal adhesions. J Invest Surg 1991; 43: 31–36.

    Article  Google Scholar 

  30. Fayez JA, Schneider PJ. Prevention of pelvic adhesion formation by different modalites of treatment. AM J Obstet Gynecol 1987; 157: 1184–88.

    PubMed  CAS  Google Scholar 

  31. Jansen RPS. Failure of peritoneal irrigation with heparin during pelvic operations upon young women to reduce adhesions. Surg Gynecol Obstet 1988; 166: 154–60.

    PubMed  CAS  Google Scholar 

  32. Krinsky AH, Haseltine FP, DeCherney A. Peritoneal fluid accumulation with dextran 70 instilled at time of laparoscopy. Fertil Steril 1984; 41: 647–49.

    PubMed  CAS  Google Scholar 

  33. Adhesion Study Group. Reduction of postoperative pelvic adhesions with intraperitoneal 32% dextran 70: a prospective, randomized clinical trial. Fertil Steril 1983; 40: 612–19.

    Google Scholar 

  34. Rosenberg SM, Board JA. High-molecular weight dextran in human infertility surgery. Am J Obstet Gynecol 1984; 148: 380–85.

    PubMed  CAS  Google Scholar 

  35. Larsson B, Lalos O, Marsk L, et al. Effect of intraperitoneal instillation of 32% dextran 70 on postoperative adhesion formation after tubal surgery. Acta Obstet Gynecol Scand 1985; 64: 437–41.

    Article  PubMed  CAS  Google Scholar 

  36. Jansen RP. Failure of intraperitoneal adjuncts to improve the outcome of pelvic operations in young women. Am J Obstet Gynecol 1985; 153: 363–71.

    PubMed  CAS  Google Scholar 

  37. Witz CA, Silverberg KM, Burns WN, et al Complications associated with the absorption of hysteroscopic fluid media. Fertil Steril 1993; 60: 745–56.

    PubMed  CAS  Google Scholar 

  38. Vercellini P, Rossi R, Pagnoni B, et al. Hypervolemic pulmonary edema and severe coagulopathy after intrauterine dextran instillation. Obstet Gynecol 1992; 79: 838–39.

    PubMed  CAS  Google Scholar 

  39. Interceed (TC7) Adhesion Barrier Study Group. Prevention of postsurgical adhesions by Interceed (TC7), an absorbable adhesion barrier: a prospective randomized multicenter clinical trial. Fertil Steril 1989; 51: 933–38.

    Google Scholar 

  40. Sekiba K, Committee atOaGAP. Use of Interceed(TC7) absorbable adhesion barrier to reduce postoperative adhesion reformation in infertility and endometrio-sis surgery. Obstet Gynecol 1992; 79: 518–22.

    PubMed  CAS  Google Scholar 

  41. Sekiba K. Use of INTERCEED (TCI) absorbable adhesion barrier to reduce postoperative adhesion formation in infertility and endometriosis surgery. Prog Clin Biol Res 1993; 38: 221–33.

    Google Scholar 

  42. Li TC, Cooke ID. The value of an absorbable adhesion barrier, Interceed, in the prevention of adhesion reformation following microsurgical adhesiolysis. Br J Obstet Gynaecol 1994; 101: 335–39.

    Article  PubMed  CAS  Google Scholar 

  43. Diamond MP, Linsky CB, Cunningham T, et al. Synergistic effects of INTERCEED(TC7) and heparin in reducing adhesion formation in the rabbit uterine horn model. Fertil Steril 1991; 55: 389–94.

    PubMed  CAS  Google Scholar 

  44. Diamond M, Linsky C, Cunningham T, et al. Adhesion reformation: reduction by the use of Interceed (TC7) plus heparin. J Gynecol Surg 1991; 7.

    Google Scholar 

  45. Haney AF, Doty E. Murine peritoneal injury and de novo adhesion formation caused by oxidized-regenerated cellulose (Interceed [TC7]) but not expanded polytetrafluoroethylene (Gore-Tex Surgical Membrane). Fertil Steril 1992; 57: 202–208.

    PubMed  CAS  Google Scholar 

  46. Boyers SP, Jansen D, Gore-Tex surgical membrane. Prog Clin Biol Res 1990; 358: 93–102.

    PubMed  CAS  Google Scholar 

  47. Group TSMS. Prophylaxis of pelvic sidewall adhesions with Gore-Tex surgical membrane: a multicenter clinical investigation. The Surgical Membrane Study Group. Fertil Steril 1992; 57: 921–23.

    Google Scholar 

  48. March CM, Boyers S, Franklin R, et al. Prevention of adhesion formation/ reformation with the Gore-Tex Surgical Membrane. Prog Clin Biol Res 1993; 381: 253–59.

    PubMed  CAS  Google Scholar 

  49. Haney AF, Doty E. Expanded-polytetrafluoroethylene but not oxidized regenerated cellulose prevents adhesion formation and reformation in a mouse uterine horn model of surgical injury. Fertil Steril 1993; 60: 550–58.

    PubMed  CAS  Google Scholar 

  50. Grow DR, Seltman HJ, Coddington CC, et al. The reduction of postoperative adhesions by two different barrier methods versus control in cynomolgus monkeys: a prospective, randomized, crossover study. Fertil Steril 1994; 61: 1141–46.

    PubMed  CAS  Google Scholar 

  51. Leach RE, Henry RL. Reduction of postoperative adhesions in the rat uterine horn model with poloxamer 407. Am J Obstet Gynecol 1990; 162: 1317–19.

    PubMed  CAS  Google Scholar 

  52. Steinleitner A, Lambert H, Kazensky C, et al. Poloxamer 407 as an intraperitoneal barrier material for the prevention of postsurgical adhesion formation and reformation in rodent models for reproductive surgery. Obstet Gynecol 1991; 77: 48–52.

    PubMed  CAS  Google Scholar 

  53. Rice V, Shanti A, Moghissi K. A comparative evaluation of poloxamer 407 and oxidized cellulose (Interceed[TC7]) to reduce postoperative adhesion formation in the rate uterine horn model. Fertil Steril 1993; 59: 901–906.

    PubMed  CAS  Google Scholar 

  54. Shushan A, Mor-Yosef S, Avgar A, et al. Hyaluronic acid for preventing experimental postoperative intraperitoneal adhesions. J Reprod Med 1994; 39: 398–402.

    PubMed  CAS  Google Scholar 

  55. Urman B, Gomel V. Effect of hyaluronic acid on postoperative intraperitoneal adhesion formation and reformation in the rat model. Fertil Steril 1991; 56: 568–70.

    PubMed  CAS  Google Scholar 

  56. Urman B, Gomel V, Jetha N. Effect of hyaluronic acid on postoperative intraperitoneal adhesion formation in the rat model. Fertil Steril 1991; 56: 563–67.

    PubMed  CAS  Google Scholar 

  57. Swolin K. Electromicrosurgery and saplingostomy: long-term results. Am J Obstet Gynecol 1975; 121: 418–19.

    PubMed  CAS  Google Scholar 

  58. Diamond MP, Daniell JF, Martin DC, et al. Tubal patency and pelvic adhesions at early second-look laparoscopy following intraabdominal use of the carbon dioxide laser: initial report of the intraabdominal laser study group. Fertil Steril 1984; 42: 717–23.

    PubMed  CAS  Google Scholar 

  59. Trimbos-Kemper TC, Trimbos JB, van Hall EV. Adhesion formation after tubal surgery: results of the eighth-day laparoscopy in 188 patients. Fertil Steril 1985; 43: 395–400.

    PubMed  CAS  Google Scholar 

  60. Jansen RP. Early laparoscopy after pelvic operations to prevent adhesions: safety and efficacy. Fertil Steril 1988; 49: 26–31.

    PubMed  CAS  Google Scholar 

  61. Surrey MW, Friedman S. Second-look laparoscopy after reconstructive pelvic surgery for infertility. J Reprod Med 1982; 27: 658–60.

    PubMed  CAS  Google Scholar 

  62. Raj SG, Hulka JF. Second-look laparoscopy in infertility surgery: therapeutic and prognostic value. Fertil Steril 1982; 38: 325–29.

    PubMed  CAS  Google Scholar 

  63. Semm K. Technique of second look pelviscopic surgery: prevention of recurrence of adhesions. Abstract no. 82, Third World Congress on the Fallopian Tube, Kiel, Germany, 1990.

    Google Scholar 

  64. Tulandi T, Falcone T, Kafka I. Second-look operative laparoscopy 1 year following reproductive surgery. Fertil Steril 1989; 52: 421–24.

    PubMed  CAS  Google Scholar 

  65. Steege JF. Repeated clinic laparoscopy for the treatment of pelvic adhesions: a pilot study. Obstet Gynecol 1994; 83: 276–79.

    PubMed  CAS  Google Scholar 

  66. Trimbos JB, Trimbos-Kemper GCM, Peters AAW, et al. Findings in 200 consecutive asymptomatic women having a laparoscopic sterilization. Arch Gynecol Obstet 1990; 247: 121–24.

    Article  PubMed  CAS  Google Scholar 

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Authors
  1. Antoni J. Duleba
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Editors and Affiliations

  1. Department of Obstetrics and Gynecology, Division of Reproductive Biology, and Endocrinology, University of Alabama Medical School, Birmingham, AL, 35233-7333, USA

    Richard E. Blackwell PhD, MD

  2. Department of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, CT, 06510, USA

    David L. Olive MD

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© 1998 Springer Science+Business Media New York

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Duleba, A.J. (1998). Pain Associated with Pelvic Adhesive Disease. In: Blackwell, R.E., Olive, D.L. (eds) Chronic Pelvic Pain. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1752-7_7

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  • DOI: https://doi.org/10.1007/978-1-4612-1752-7_7

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-7265-6

  • Online ISBN: 978-1-4612-1752-7

  • eBook Packages: Springer Book Archive

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