Impact and Burden of Adhesions - Video (ovarian; IP chemo; laparotomy; laparoscopy; small bowel obstructions....) Ovarian Cancer and Us OVARIAN CANCER and US Ovarian Cancer and Us

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Thursday, April 28, 2016

Impact and Burden of Adhesions - Video (ovarian; IP chemo; laparotomy; laparoscopy; small bowel obstructions....)



Video (plain english language)

 Adhesions are fibrous bands of internal scar tissue that can cause tissues and organs that are not otherwise normally connected to stick together.1 Adhesions are the most common and frequent complication of abdominal surgery and form in more than 90% of abdominal surgery patients.1,2

 Risks and Complications of Adhesions

Patients with adhesions suffer from major short- and long-term postoperative complications, which place a burden on patients, surgeons, and healthcare systems, including:
  • Small bowel obstruction (SBO)3
  • Female infertility3
  • Chronic abdominopelvic pain3
  • Reoperation for adhesiolysis (surgical removal of adhesions)3
  • Longer operation times and associated increased risk of complications3
  • Limitations on future therapeutic options3
  • Increased mortality risk4,5
While the utmost care can and should be taken during surgery to prevent adhesion formation, adhesions—part of the natural tissue healing process—are not always preventable by surgical technique alone.3,6 While not all adhesions are problematic, many are symptomatic but go undiagnosed as the root cause of comorbidities.3,4

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