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Predictors of pelvic adhesions
T G Stovall1, R F Elder, F W Ling
1Department of Obstetrics and Gynecology, University of Tennessee, Memphis 38163.
The Journal of Reproductive Medicine
|May 1, 1989
Summary
Pelvic adhesions, a cause of pain and infertility, were found in 36.3% of women undergoing laparoscopy. Previous pelvic surgery was the only historical predictor, while uterine immobility and right adnexal findings indicated adhesions.
Area of Science:
- Gynecologic Surgery
- Pelvic Health
- Surgical Pathology
Background:
- Pelvic adhesions are a significant cause of pelvic pain, bowel obstruction, and infertility in women.
- Laparoscopy is a key diagnostic and therapeutic tool for evaluating pelvic adhesions.
Purpose of the Study:
- To correlate preoperative patient history and physical examination findings with the presence of pelvic adhesions identified during laparoscopy.
- To identify predictive factors for pelvic adhesions in women undergoing laparoscopic procedures.
Main Methods:
- A prospective study analyzed 273 consecutive patients undergoing laparoscopy.
- Data collected included preoperative history, physical examination findings, and laparoscopic observations of pelvic adhesions.
Main Results:
- Pelvic adhesions were identified in 99 patients (36.3%).
- Previous pelvic surgery was the sole historical predictor associated with adhesive disease.
- Physical examination findings linked to adhesions included uterine immobility, right adnexal mass, and right adnexal tenderness.
Conclusions:
- Predictive clinical factors for pelvic adhesions are limited.
- Previous pelvic surgery is a significant historical indicator.
- Specific physical exam findings may suggest the presence of adhesions, aiding in preoperative assessment.