|
|
|
|
|
|
|
|
|
|
open access (requires registration - free)
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
Adhesions: Open Access Articles
Morbidity related to concomitant adhesions in abdominal surgery
Background: We sought to assess the independent effect of concomitant adhesions (CAs) on patient outcome in abdominal surgery. READ FULL ARTICLE »Making and covering of surgical footprints – Commentary
There is little doubt that abdominal adhesions form in response to peritoneal trauma. Although adhesions may result from events occurring during fetal development, the vast majority can be directly linked to surgery. READ FULL ARTICLE »Practical implications of postoperative adhesions for preoperative consent and operative technique
Adhesions complicate most intra-peritoneal operations. Once adhesions have formed, patients are at lifelong risk for complications that include small bowel obstruction, increased risks during subsequent operations and female infertility. READ FULL ARTICLE »Secular trends in small bowel obstruction and adhesiolysis in the United States: 1988–2007
Background: Postoperative adhesions are common after surgery and can cause small bowel obstruction (SBO) and require adhesiolysis. The impact that laparoscopy and other surgical advances have had on rates of SBO and adhesiolysis remains controversial. This study examines trends in discharges from US hospitals for SBO and adhesiolysis from 1988 to 2007. READ FULL ARTICLE »The impact of adhesions on operations and postoperative recovery in colon cancer surgery
Background: Many surgeons assume that adhesions encountered during surgery negatively influence surgical outcomes. This article attempts to assess the role adhesions have on outcomes of colon cancer surgery. READ FULL ARTICLE »
This Postoperative Adhesions Awareness Resource
Center is designed to elevate the understanding of the factors involved
in post-operative adhesion formation and the serious consequences for
patients among healthcare professionals, including surgeons, nurses and
physicians assistants, hospital administration and purchasing
professionals, and healthcare policy makers. Among the surgical and
healthcare planning community, there is a deficit in the comprehension
of adhesions and the unfortunate and real impact they have on patient
outcomes. This lack of awareness is detrimental to any serious attempt
at preventing or minimizing adhesions. On this site, you will find
valuable resources, including peer-reviewed articles, presentations, and
videos about adhesions and related complications. Please bookmark this
page and return for updates.
Healthcare Professional Consultant Disclosures: Since June 2013, Professor Mike Parker has received payments for participation in the following industry initiatives: Symposia (Applied Medical, Covidien, Ethicon Endo Surgery, Sanofi) and Clinical Studies (Carpo Novum).
References
- Sikirica V, Bapat B, Candrill SD, Davis KL, Wilson M, Johns A. The inpatient burden of abdominal and gynecological adhesiolysis in the US. BMC Surg. 2011;11:13.
- ten Broek RP, Issa Y, van Santbrink EJ, et al. Burden of adhesions in abdominal and pelvic surgery: systematic review and met-analysis. BMJ. 2013;347:f5588.
- Bruggmann D, Tchartchian G, Wallwiener M, Munstedt K, Tinneberg H-R, Hackethal A. Intra-abdominal adhesions. Dtsch Arztebl Int. 2010;107(44):769-775.
- DeWilde RL, Trew G; Expert Adhesions Working Party of the European Society of Gynaecological Endoscopy (ESGE). Postoperative abdominal adhesions and their prevention in gynaecological surgery. Expert consensus position. Gynecol Surg. 2007;4:161-168.
- van Goor H. Consequences and complications of peritoneal adhesions. J Assoc of Coloproctology of Great Britain and Ireland. 2007;9(suppl 2):25-34.
- DeWilde RL, Trew G; Expert Adhesions Working Party of the European Society of Gynaecological Endoscopy (ESGE). Postoperative abdominal adhesions and their prevention in gynaecological surgery. Expert consensus position. Part 2—steps to reduce adhesions. Gynecol Surg. 2007;4:243-253.
0 comments :
Post a Comment
Your comments?
Note: Only a member of this blog may post a comment.