Adhesions: Risk Factors

From: Helen Dynda (olddad66@runestone.net)
Tue Mar 18 21:56:24 2003


1.) Adhesions: Risks of Adhesions http://www.iowaclinic.com/adam/ency/article/001493.shtml

" Depending on the tissues involved, adhesions can cause various disorders. In the eye, adhesion of the iris to the lens can lead to glaucoma. In the intestines, adhesions can cause partial or complete bowel obstruction.

" Intrauterine adhesions occur often enough they have a name of their own (Asherman syndrome). Pelvic adhesions can lead to infertility and reproductive problems."

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2.) Noncyclic Pelvic Pain.....Scroll down about 2/3rds.

http://www.merck.com/pubs/mmanual/section18/chapter237/237a.htm

" Adhesions resulting from previous surgery or pelvic infection may cause pain. Patients should be warned that the removal of adhesions (adhesiolysis) may make the pain worse and that even if surgery is beneficial, the adhesions may recur and cause further pain."

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3.) Adhesions .....Scroll down to: Risk Factors for Adhesion Formation

http://www.womenssurgerygroup.com/conditions/Adhesions/treatment.asp

X>Risk Factors for Adhesion Formation " Multiple risks factors have been identified for the formation of adhesions. In one study performed at the time of autopsy the authors reported a 90% incidence of adhesions in patients with multiple previous surgeries, 70% incidence of adhesions in patients with previous gynecologic surgery, a 50% incidence of adhesions with previous appendectomy, and interestingly, a greater than 20% incidence of adhesions in patients with no surgical history. Of even greater interest, a recent publication suggested that myomectomy with a posterior uterine incision may have an incidence of greater than 90% of adhesions from the incision line to bowel, omentum. or the adnexa. Additionally, there has been great interest in the amount of adhesion reformation following lysis of adhesions for laparotomy vs. laparoscopy, as well as the incidence of de novo adhesion formation in laparotomy and laparoscopy.

" Compilation studies have suggested that there is a 70% incidence of adhesion reformation with laparotomy and greater than 50% de novo adhesion formation. While adhesions occur following laparoscopic surgery, the amount of de novo adhesions (adhesions at sites in the pelvis where no surgery was done) has been reported in various studies to be only 10% (a reduction of 40% compared to laparotomy)."


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