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  • Title: Complications and feasibility of laparoscopic adhesiolysis in patients with chronic abdominal pain. A retrospective study.
    Author: Swank DJ, van Erp WF, Repelaer van Driel OJ, Hop WC, Bonjer HJ, Jeekel J.
    Journal: Surg Endosc; 2002 Oct; 16(10):1468-73. PubMed ID: 12073004.
    Abstract:
    BACKGROUND: A retrospective study was done to determine whether laparoscopic adhesiolysis benefits patients with chronic abdominal pain. Factors that influence complications and feasibility of laparoscopic adhesiolysis were evaluated. METHODS: 174 consecutive operations in 157 patients were retrospectively analyzed for factors which might influence the complication rate and the feasibility of laparoscopic adhesiolysis. RESULTS: In 128 out of 174 procedures a complete adhesiolysis was performed. We had to accept an incomplete adhesiolysis in 39 other patients and in 7 patients a primary conversion was needed. We noticed 16 major complications. Two patients died. Relief of pain was recorded in 80% of patients after short follow-up. The number of previous abdominal operations and patient age significantly affected the outcome of surgery. CONCLUSION: Laparoscopic adhesiolysis in patients with chronic abdominal pain seems to be a feasible and effective operation with considerable risk.
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