A study of nerve fibers and histopathology of postsurgical, postinfectious, and endometriosis-related adhesions

Togas Tulandi, Moy Fong Chen, Sundus Al-Took, Kenneth Lloyd Watkin

Research output: Contribution to journalArticle

Abstract

Objective: To evaluate the presence of nerve fibers and histopathology of endometriosis-related adhesions, postsurgical adhesions, and postinfectious adhesions in women with and without pelvic pain. Methods: We evaluated the presence of nerve fibers and histopathology of endometriosis- related adhesions, postsurgical adhesions, and postinfectious adhesions in 50 women. The nerve fibers were identified by immunocytochemistry staining with an antibody to neurofilament. Results: Nerve fibers were found in the intraabdominal adhesions in 39 of the total 50 patients with such adhesions (78%). There was no significant difference in the proportion and the mean nerve score in adhesions due to previous intra-abdominal infection, endometriosis, and previous uninfected intra-abdominal surgery. The degree of lymphocytes and edema in endometriosis-related adhesions was significantly higher than in postsurgical adhesions and postinfectious adhesions (P < .05). No difference was found in the amount of nerve fibers and the mean nerve score in adhesions from women with pelvic pain and from those without pelvic pain. Conclusion: Nerve fibers are found commonly in intraabdominal adhesions, and their presence are not related to the underlying pathology or pelvic pain. Endometriosis-related adhesions contain more inflammatory cells and tissue edema than postsurgical or postinfectious adhesions.

Original languageEnglish (US)
Pages (from-to)766-768
Number of pages3
JournalObstetrics and Gynecology
Volume92
Issue number5
DOIs
StatePublished - Nov 1 1998

ASJC Scopus subject areas

  • Medicine(all)

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