Laparoscopic Adhesiolysis for Chronic Abdominal Pain Revisited

Brief summary (from the registry)

Chronic abdominal and pelvic pain is a common complaint following peritoneal surgery, affecting 20-40% of patients. Adhesions account for 60% of chronic postoperative pain cases, suggesting that adhesiolysis can play an important role in the management of such pain. Despite initial promising results regarding the effect of adhesiolysis on post-operative pain, implementation of the procedure has been challenging. The major problems associated with adhesiolysis for pain are recurrence of pain, need for invasive diagnosis with high rates of 'negative' laparoscopies, and inadvertent bowel injury during surgery. However, diagnosis and treatment of adhesions may be improved through the use of novel cine-MRI techniques, and with application of anti-adhesion barriers following adhesiolysis. In this study the investigators evaluate a new practice-based approach to the problem of chronic post-operative pain caused by adhesions. This practice-based approach includes use of a novel imaging technique for adhesions (cine-MRI) and shared decision making. Cine-MRI holds promise to diagnose and map adhesions. Thus patients with no adhesions, or high risk for bowel injury, can be waived from surgical treatment. By using anti-adhesion barriers the investigators attempt to prevent adhesion reformation and improve long-term outcomes of adhesiolysis.

Study details

Official title

Laparoscopic Adhesiolysis for Chronic Abdominal Pain Revisited

Conditions

• Chronic Pain
• Tissue Adhesion

Interventions

• Procedure: Adhesiolysis

Sponsor

Radboud University Medical Center

Collaborators

Rijnstate Hospital

Start date

2015-01

Primary completion

2016-12

Sex

All

Age range

from 18 Years

Results posted

No results posted in this snapshot

Countries

Netherlands

Total sites listed

1

Eligibility criteria