About Adhesions...by Michael P. Diamond, M.D......PRINT THIS OUT - and share this with your Dr.!!

From: Helen Dynda (olddad66@runestone.net)
Wed Feb 12 12:39:54 2003

X> About Adhesions.......What are adhesions ... How do adhesions form? ... Pathogenesis (formation) of Adhesions ... When do post-operative adhesions form? ... What causes adhesions? ... What problems can develop as a result of adhesion formation? ... Can adhesions lead to bowel obstruction? ... Can adhesions lead to chronic pelvic pain? ... Can adhesions lead to infertility? ... What is the cost of adhesion formation to the health care providers? ... Do adhesions develop after laparoscopic procedures? ... What are the current practices used to prevent adhesions? ...


** 55 - 94% of patients having abdominal or pelvic surgery will develop post-operative surgical adhesions

** certain surgical procedures have a higher incidence of adhesion formation

** cholecystectomy

** appendectomy

** colonic surgery (large colon and small bowel)

** pelvic surgery (surgery on uterus, fallopian tubes, ovaries)

~ ~ ~ ~

"Audebert and Gomel found that 32% of patients with a previous surgical history are at risk for bowel injuries during the insertion of trocars during laparoscopic surgery."

~ ~ ~ ~ " In 1996, Medicare paid out $3.22 Billion for adhesion related complications.

"Approximately 300,000 adhesiolysis procedures will be performed this year - surgery for the removal of adhesions."

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