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Surgery for Chronic Pelvic Pain


Table of Contents


Surgery for Chronic Pelvic Pain

Surgery Overview

Laparotomy is a surgical procedure that is done by making an incision in the lower abdomen. This allows the surgeon to see and inspect the abdominal cavity for structural problems, sites of endometriosis (implants), and scar tissue (adhesions). The surgeon can then remove implants and adhesions. The surgeon can also correct structural problems that interfere with an organ's normal function, such as removing adhesions from the bowel wall.

Many of the procedures that required a laparotomy in the past can now be done with laparoscopy, which uses a smaller incision. Ask your surgeon why laparotomy is required.

What To Expect After Surgery

Why It Is Done

Laparotomy is a likely treatment for moderate to severe chronic female pelvic pain when:

A laparotomy is usually required to remove:

How Well It Works

Surgery for chronic female pelvic pain should be limited to the treatment of surgically correctable problems. There is no evidence that surgical removal of the reproductive organs relieves chronic pelvic pain.1

Risks

What To Think About

Laparotomy may be needed when scar tissue binds abdominal organs, impairing their function. But a laparotomy may cause more scar tissue to form.

It is important that your surgeon understands your treatment goals. Be sure you discuss your goals, such as the desire for future pregnancies. If fertility is not your primary treatment goal, a decision could be made to remove one or both ovaries, one or both fallopian tubes, or the uterus during a laparotomy.

Complete the surgery information form (PDF) to help you prepare for this surgery.

References

Citations

  1. Andrews J, et al. (2012). Noncyclic Chronic Pelvic Pain Therapies for Women: Comparative Effectiveness Review No. 41 (AHRQ Publication No. 11(12)-EHC088-1). Rockville, MD: Agency for Healthcare Research and Quality. Available online http://www.ncbi.nlm.nih.gov/books/NBK84586.

Credits for Surgery for Chronic Pelvic Pain

By Healthwise Staff
Primary Medical Reviewer Sarah Marshall, MD - Family Medicine
Specialist Medical Reviewer Kirtly Jones, MD - Obstetrics and Gynecology
Last Revised October 30, 2012

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