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Postoperative adhesion

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8 papers 25 to 100 followers
By Giovanni Gambino M.D. Ph.D.
Richard P G ten Broek, Erica A Bakkum, Cornelis J H Mvan Laarhoven, Harry van Goor
OBJECTIVE: To provide a comprehensive review of recent epidemiologic data on the burden of adhesion-related complications and adhesion prevention. Second, we elaborate on economic considerations for the application of antiadhesion barriers. BACKGROUND: Because the landmark SCAR studies elucidated the impact of adhesions on readmissions for long-term complications of abdominal surgery, adhesions are widely recognized as one of the most common causes for complications after abdominal surgery...
January 2016: Annals of Surgery
Min Li, Jianan Ren, Weiming Zhu, Yousheng Li, Yunzhao Zhao, Jun Jiang, Jieshou Li, Ning Li
BACKGROUND: The aim of this study was to identify if long intestinal tube splinting could really decrease recurrent adhesive small bowel obstruction (ASBO) by survival analysis. METHODS: A retrospective analysis was performed on 1,071 patients who underwent operation for postoperative ASBO between December 2001 and 2008 at our unit. According to the risk factors of recurrent ASBO, all patients were divided into high-risk recurrence group and low-risk recurrence group regardless of whether they received tube splinting...
February 2015: American Journal of Surgery
Ville Sallinen, Heidi Wikström, Mikael Victorzon, Paulina Salminen, Vesa Koivukangas, Eija Haukijärvi, Berndt Enholm, Ari Leppäniemi, Panu Mentula
BACKGROUND: Laparoscopic adhesiolysis is emerging as an alternative for open surgery in adhesive small bowel obstruction. Retrospective studies suggest that laparoscopic approach shortens hospital stay and reduces complications in these patients. However, no prospective, randomized, controlled trials comparing laparoscopy to open surgery have been published. METHODS/DESIGN: This is a multicenter, prospective, open label, randomized, controlled trial comparing laparoscopic adhesiolysis to open surgery in patients with computed-tomography diagnosed adhesive small bowel obstruction that is not resolving with conservative management...
October 11, 2014: BMC Surgery
William B Robb, Christophe Mariette
BACKGROUND: Postoperative intra-abdominal adhesions after GI surgery constitute a major burden for health care provision globally, causing chronic abdominal symptoms and necessitating repeated surgical intervention. OBJECTIVE: This systematic review examines safety and efficacy data for current anti-adhesion strategies after GI surgery. DATA SOURCES: PubMed, Medline, and Embase databases were searched for randomized control trials and nonrandomized clinical studies of anti-adhesion products from January 1980 to October 2013...
October 2014: Diseases of the Colon and Rectum
Senthil Kumar, Peng F Wong, David J Leaper
BACKGROUND: Intra-abdominal adhesions are common and challenge patients, surgeons and other healthcare providers. They are potentially preventable and several agents that act as barriers between adjacent peritoneal surfaces have been evaluated for prophylaxis. Efficacy, judged by systematic reviews, has only been undertaken in gynaecological surgery. OBJECTIVES: To determine efficacy and safety of peritoneal adhesion prophylaxis on incidence, distribution and adhesion-related intestinal obstruction after non-gynaecological surgery...
January 21, 2009: Cochrane Database of Systematic Reviews
Karolin Isaksson, Agneta Montgomery, Ann-Cathrin Moberg, Roland Andersson, Bobby Tingstedt
OBJECTIVE: The aim of the present study was to compare the frequency of readmissions due to small bowel obstruction (SBO) after open versus laparoscopic surgery performed for suspected acute appendicitis. BACKGROUND: Appendicitis is a common disease, with a lifetime risk of approximately 7%. Appendectomy is the treatment of choice for most patients. Postoperative adhesions are common after abdominal surgery, including appendectomy. MATERIALS AND METHODS: Consecutive patients, 16 years or older, operated on because of suspected appendicitis at 2 university hospitals between 1992 and 2007 were included...
June 2014: Annals of Surgery
Christian D Klink, Patrick Schickhaus, Marcel Binnebösel, Stefan Jockenhoevel, Rafael Rosch, Rene Tolba, Ulf P Neumann, Uwe Klinge
BACKGROUND: Postoperative peritoneal adhesion formation following abdominal surgery remains a relevant surgical problem. The application of soluble physico-chemical barriers like 4% icodextrin is one approach to protect the peritoneal surface from getting linked to adhesive scar. The aim of this study was to investigate the influence of 4% icodextrin on peritoneal tissue response both of visceral and parietal peritoneum, adhesion formation and wound healing. METHODS: 40 rats were divided into two groups...
September 10, 2013: BMC Surgery
Willy Arung, Michel Meurisse, Olivier Detry
Peritoneal adhesions represent an important clinical challenge in gastrointestinal surgery. Peritoneal adhesions are a consequence of peritoneal irritation by infection or surgical trauma, and may be considered as the pathological part of healing following any peritoneal injury, particularly due to abdominal surgery. The balance between fibrin deposition and degradation is critical in determining normal peritoneal healing or adhesion formation. Postoperative peritoneal adhesions are a major cause of morbidity resulting in multiple complications, many of which may manifest several years after the initial surgical procedure...
November 7, 2011: World Journal of Gastroenterology: WJG
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