Effect of Laparoscopic Adhesiolysis of Pelvic Adhesions in Management of Chronic Pelvic Pain on Quality of Life

Document Type : Original Article

Authors

1 OBS/GYN department Helwan University Cairo

2 Department of Obstetrics and Gynecology, 3Department of Psychiatry, Faculty of Medicine, Helwan University,

3 Department of Psychiatry, Faculty of Medicine, Helwan University,

4 Department of Obstetrics and Gynecology, Ain-Shams University, Cairo , Egypt

Abstract

Background: Chronic pelvic pain has been described in a variety of ways, it is most commonly defined as non-menstrual pelvic pain of 6 months or more duration, that is severe enough to cause functional disability or require medical or surgical treatment. Adhesions are diagnosed in approximately 25% of women with chronic pelvic pain.
Aim: The aim of the present study was to compare between quality of life before and after laparoscopic adhesiolysis in the management of chronic pelvic pain.
Materials and Methods: This study was prospective cohort study which included 20 patients and carried out at Helwan University Hospitals between December 2018 and December 2019 over 12 months. All of the patients completed general health questionnaire (GHQ) preoperatively. All laparoscopies were done by the same operator. Complete adequate laparoscopic adheseolysis was the aim of laparoscopy. All patients completed the questionnaire again 2 weeks and 3 months postoperatively.
Results: Fifteen patients improved after 2 weeks and 18 patients after 3 months 2 patients has no improvement and quality of life for these patients has significant improvement after laparoscopic adhesiolysis.
Conclusion: Laparoscopic adhesiolysis seems to be effective regarding improvement of quality of life in patient with chronic pelvic pain.

Keywords

Evidence Based Women's Health Journal
Volume 10, Issue 3
September 2020
Pages 223-229

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