2019 | 2 | 124-129
Article title

Physical possibilities in the treatment of chronic abdominal pain in patients with peritoneal adhesions

Title variants
Languages of publication
Background. The most intensive pains suffered by patients after surgical interventions are caused by post-operative peritoneal adhesions, which are incorrect connective tissue connections formed on or among internal organs and tissues in the abdominal cavity. These adhesion-related pains are resistant to analgesic treatment and often persist for many years. Objectives. In this trial, the estimation of the efficacy of combined treatment with the use of two variable magnetic field related therapeutic methods (magnetotherapy and magnetostimulation) in the treatment of 119 patients with chronic abdominal pains caused by numerous post-operative peritoneal adhesions was performed. Material and methods. 67 patients from the examined group were subjected to two series of 20 daily procedures of exposure to variable magnetic fields in the form of magnetotherapy and magnetostimulation, while 52 patients from the comparison group were subjected to sham exposure, during which no magnetic field was generated in the applicators. Prior to the therapeutic cycle and after its completion, the assessment of pain intensity, with the use of the Visual Analogue Scale (VAS ), and subjective estimation of quality of life, by means of the EuroQol Scale, were performed. Results. In patients from the examined group, a significant decrease in pain intensity, according to the VAS , and a significant improvement of life quality level, on the EuroQol Scale, in comparison to initial values, was achieved (8.0 ± 1.1 vs 2.3 ± 1.0 points, and 30.2 ± 14.1 vs 86.2 ± 8.5 points, respectively (p < 0.05); while in the control group, no statistically significant changes of the estimated parameters were observed. Conclusions. Magnetotherapy and magnetostimulation are efficient therapeutic methods in the case of patients with long-lasting abdominal pain related to peritoneal adhesions, enabling an improvement in their life quality (regardless of gender and age). Taking into account that magnetotherapy and magnetostimulation are not applicable in primary care, family doctors should consider a consultation with a physical therapy specialist in order to prescribe a cycle of physical treatment with the use of these methods in the case of such patients with drug-resistant abdominal pain caused by diagnosed postoperative peritoneal adhesions
  • Güney G, Kaya C, Oto G, et al. Effects of quercetin and surgical for preventing adhesions after gynecological surgery: a rat uterine horn model. J Obstet Gynaecol Res 2017; 43(1): 179–184.
  • Koninckx PR, Gomel V, Ussia A, et al. Role of the peritoneal cavity in the prevention of postoperative adhesions, pain, and fatigue. Fertil Steril 2016; 106(5): 998–1010.
  • Li XD, Xia DL, Shen LL , et al. Effect of ”phase change” complex on postoperative adhesion prevention. J Surg Res 2016; 202(1): 216–224.
  • Morawski B, Nawrot I, Klonowski W, et al. Peritoneal adhesions as a cause of mechanical small bowel obstruction based on own experience.Pol Przegl Chir 2015; 86(11): 523–531
  • Smolarek S, Shalaby M, Paolo Angelucci G, et al. Small-bowel obstruction secondary to adhesions after open or laparoscopic colorectal surgery. JSLS 2016; 20(4): 201–216.
  • Lin LX, Yuan F, Zhang HH , et al. Work of separation – a method to assess intraperitoneal adhesion and healing of parietal peritoneum in an animal model. Clin Biomech 2016; 41: 82–86.
  • Hoare T, Yeo Y, Bellas E, et al. Prevention of peritoneal adhesions using polymeric rheological blends. Acta Biomater 2014; 10(3):1187–1193.
  • Gomel V, Koninckx PR. Microsurgical principles and postoperative adhesions: lessons from the past. Fertil Steril 2016; 106(5): 1025––1031.
  • Pasek J, Sieroń A. Possibilities of physical medicine interventions in the treatment of wound of tarsal joint. Acta Angiologica 2015; 4:132–135.
  • 10. Sieroń A, Cieślar G, Stanek A, eds. Pole magnetyczne i światło w medycynie i fozjoterapii. Bielsko-Biała: α-medica press; 2013 (in Polish).
  • Rice AD, King R, Reed ED, et al. Manual physical therapy for non-surgical treatment of adhesion-related small bowel obstructions: two case reports. J Clin Med 2013; 2(1): 1–12.
  • Oh J, Kuan KG, Tiong LU, et al. Recombinant human lubricin for prevention of postoperative intra-abdominal adhesions in a rat model.J Surg Res 2017; 208: 20–25.
  • Marshall CD, Hu MS, Leavitt T, et al. Creation of abdominal adhesions in mice. J Vis Exp 2016; 27: 114–118.
  • Diamond MP. Reduction of postoperative adhesion development. Fertil Steril 2016; 106(5): 994–997.
  • Koninckx PR, Gomel V. Introduction: quality of pelvic surgery and postoperative adhesions. Fertil Steril 2016; 106(5): 991–993.
  • Alonso Jde M, Alves AL , Watanabe MJ, et al. Peritoneal response to abdominal surgery: the role of equine abdominal adhesions and current prophylactic strategies. Vet Med Int 2014; 279: 1–8.
Document Type
Publication order reference
YADDA identifier
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.