Table 2 reveals that the greater part of the studied women Few patients 2. Concerning the severity of adhesions resulted from endometriosis, Table 2 indicates that almost all of the participated women had a moderate degree of severity 19 Chi-square test X 2 showed a significant association between impacted quality of life and adhesions that were resulted from endometriosis as Endometriosis is a condition in which a multiple interplay between the shed endometrial tissue, the peritoneal environment, and the peritoneal lining occurs.
When the peritoneum cannot remove the endometrial tissue in time, these tissues will have the chance to adhere to the peritoneal lining which finally leads to this disease Formation of adhesions is a major complication of surgical treatment of endometriosis. Also, recent researches suggest that peritoneal inflammation, which may cause adhesions, occurs in the presence of active endometriosis Adhesions and endometriosis are connected together because endometriosis is an adhesiogenic disease.
The nature of recurrence of endometriosis means that repeated surgical operations are usually performed, which in turn increase the chance of adhesion formation. The prevalence of adhesion among women with endometriosis in the current study, was While, the study conducted by Parker et al.
Of the 8 cases without a previous endometriosis surgery, 6 Concerning the demographic characteristics of patients, the two groups with and without adhesions were similar in age, occupational status, level of education and body mass index. Thus, these variables did not influence the frequency of adhesions in each group, nor the risk factors analyzed in the current study.
The above- mentioned results were coinciding with those reported by Stocker et al. Peterson et al. Use of contraception, as oral contraceptive pills OCPs and intrauterine contraceptive device IUD , is also known to affect menstrual flow.
If retrograde menstruation is involved in induction of endometriosis, usage of IUD a common reason of menorrhagia would be expected to increase the risk of the disease. Hughes et al. In other studies, OCPs exposure was associated with a lower risk of endometriosis Our results indicate no significant difference between usage of contraceptive methods and adhesions with endometriosis in infertile women.
Adnexal area, anterior abdominal wall, bladder and uterus were the most common locations of adhesions in our research.
These findings are different from several reports showing that adhesions are more often found in the omentum 19 - In the current study, concerning the associations between endometriosis-related adhesions and quality of life, the results showed that the quality of life is significantly impacted by adhesions. In our study, it was noticed that all the cases with a severe degree of adhesions presented with poor quality of life.
This finding was consistent with previous studies 23 - 25 which discussed that endometriosis and adhesions have significant negative effects on sexual intercourse, educational, social, and familial and professional aspects of the daily life of the patient.
The pain, as well as mental and social dysfunction subsequently impairs the quality of life and lowers productivity of working women. Absolute cause or cure is not identified, so this disorder is considered to be chronic and recurrent.
This research had some limitations such as a decrease in the number of participants and samples' readiness in participating. Pain was not discussed in the present study, although it might affect the quality of life as we focused on the adhesions in cases of endometriosis. No long-term follow-up was done in this research as many of patients did not return to the hospitals after doing the procedure of laparoscopy.
Based on the findings of the present study, it can be concluded that the prevalence of adhesions associated with endometriosis was Also, an association between adhesions related to endometriosis and quality of life among infertile women was found. Further researches might be conducted to study the same problems in larger populations of the women with long-term follow-up.
No financial support was received from any institution to perform this study. The authors thank all nurses, participated women and medical members in the Endoscopy Unit; without their cooperation, this work could not be done.
All authors report no conflict of interest. All authors revised and approved the final manuscript. National Center for Biotechnology Information , U.
Int J Fertil Steril. Published online Jan 6. D, 1 Mohamed Lotfy Mohamed , Ph. D, 2 and Sabah Lotfy Mohamed , Ph. Author information Article notes Copyright and License information Disclaimer. Received May 19; Accepted Sep 8. Copyright Any use, distribution, reproduction or abstract of this publication in any medium, with the exception of commercial purposes, is permitted provided the original work is properly cited.
This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This article has been cited by other articles in PMC.
Abstract Background Endometriosis is considered the most common cause of pelvic adhesions in women. Results The prevalence of adhesions resulted from endometriosis was Conclusion A high percentage of studied patients had a moderate degree of adhesions.
Adhesions are removed through a type of surgery called adhesiolysis. The location of your adhesion will determine what kind of surgical treatment is best for you.
For example, laparoscopic surgery is less invasive and can break up and remove an adhesion that blocks your bowels. Laparoscopic surgery is also less likely to create more adhesions during the healing process.
More research about the outcomes of adhesion removal is needed. The success rate appears connected to area of your body where the adhesion is. Surgeries for adhesions to the bowel and abdominal wall tend to have a lower rate of adhesions returning after surgery compared to other organs. Procedures to remove endometrial-like tissue from your pelvis and other areas carry a high risk of adhesions. Any abdominal surgery can lead to more adhesions. After any surgery, your organs and the surrounding tissue become swollen as they heal.
When you have an adhesion, the new tissue growth and natural healing process can create scar tissue that blocks your organs or impairs their function. The organs of your digestive and reproductive systems are very close together in your abdomen and pelvis.
The close quarters of your bladder, uterus, fallopian tubes, and bowels mean adhesions can happen after any surgery involving that area. Certain sprays, liquid solutions, medications, and surgical methods are being researched to find a way to make adhesions less common after surgery. Endometriosis adhesions can make an already uncomfortable condition more complicated. Being aware of strategies to treat and manage adhesion pain can help. Endometriosis is a disorder in which tissue similar to that which forms the lining of your uterus grows outside of your uterine cavity.
The lining is…. An estimated million women worldwide have endometriosis. Many women wait years before diagnosis or treatment. Survey results from HealthyWomen…. There are several ways to diagnose endometriosis, though the process can be tricky. Learn about treating endometriosis with dietary changes and supplementation with herbs and spices, such as chamomile, ashwagandha, ginger, lavender….
My periods are cripplingly painful for about three days; otherwise I am fine. Would a hysterectomy be recommended in my case? A hysterectomy should be the patient's choice. Beware of doctors who are pushing you to have a hysterectomy.
Should you not want one, there are always options. With endometriosis, there is always a choice. You don't ever have to have a hysterectomy because of endometriosis. The only exception to that rule, is if you have cancer inside of the uterus.
Hernias should be quite rare after laparoscopic surgery. Hernias are dependent on incision size and fascial defects. Fascia is the solid structure you can feel below your skin if you move your skin back-and-forth. The smaller the skin and fascial incision are, the lesser the chance of hernias.
A belly button fascia is easy to identify and suture repair. Incisions larger than half an inch should be suture-repaired. I have read that it increases a woman's chance of heart disease.
Harry Reich in this column are solely his own and based on his experience. Struggling With Insomnia?
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