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Congenital Peritoneal Adhesions

Congen Peritoneal Adhesions


Presentation

  • This book presents the current knowledge on the aetiopathogenesis of adhesion formation as well as the available methods for their prevention and control.[books.google.com]
  • […] if the condition was present at the time of inpatient admission.[icd.codes]
  • Congenital Caecal Band Presenting as Appendicitis. The Internet Journal of Surgery. 2008 Volume 21 Number 2. Abstract Congenital bands are extremely rare and often present in childhood with symptoms of bowel obstruction.[ispub.com]
  • Bowel resection may be necessary if the membrane cannot be stripped atraumatically or if obvious gangrene of the bowel is present.[ijcasereportsandimages.com]
  • Repair is recommended for unusually large hernias or if the hernia is still present at school age.[surgwiki.com]
Neonatal Intestinal Obstruction
  • intestinal obstructions classifiable to P76.- obstruction of duodenum ( K31.5 ) postprocedural intestinal obstruction ( K91.3- ) stenosis of anus or rectum ( K62.4 ) Paralytic ileus and intestinal obstruction without hernia Approximate Synonyms Intestinal[icd10data.com]
  • Congenital gastrointestinal malformations can cause neonatal intestinal obstruction. Another cause of meconium ileus is cystic fibrosis.[patient.info]

Workup

Hepatocellular Carcinoma
  • carcinoma (liver cell carcinoma)肝細胞癌 hepatocyte肝細胞 hepatomegaly 肝腫大 hepatorenal syndrome肝腎症候群 hepatotoxin肝臓毒 high pressure zone of upper esophagus (upper esophageal high pressure zone)上部食道高圧帯 Hydrops vesicae fellae (hydrops of gallbladder)胆嚢水腫 hyperalimentation[tokyo-med.ac.jp]

Treatment

  • Non-surgical treatments for adhesions Alternatives to surgery include: medication – this is often the first treatment choice for acute pain and forms part of the treatment for chronic pain exercise physical therapy lifestyle changes.[betterhealth.vic.gov.au]
  • Treatment – Surgical Indications : When conservative treatment for 3 to 5 days does not result in resolution When strangulation is suspected / cannot be ruled out 8.[slideshare.net]
  • Babies with birth defects often need special care and treatments. The treatments may include surgery, medicines, assistive devices, and therapies.[icdlist.com]
  • Principles of treatment Uncomplicated hernias require either no treatment, support with a truss, or operative treatment, whereas complicated hernias always require surgery, often urgently.[surgwiki.com]
  • Intestinal Adhesions Introduction Symptoms Diagnosis Treatment Prevention Intestinal adhesions are bands of fibrous tissue that can connect the loops of the intestines to each other, or the intestines to other abdominal organs, or the intestines to the[hemorrhoid.net]

Prognosis

  • ] The prognosis of advanced carcinoma of the colon remains poor.[patient.info]
  • Long term postoperative prognosis is generally excellent. Conclusion Abdominal cocoon is a rare condition of unknown etiology.[casereports.in]
  • Ongoing Care Prognosis Adhesions are typically asymptomatic. Once present, they cannot be fully removed. No single approach has been satisfactory in removing adhesions.[unboundmedicine.com]
  • Prognosis of small- bowel obstruction depends on the location and source of obstruction.[laparoscopyhospital.com]
  • Prognosis Intestinal obstruction surgery usually has a favorable outcome if the surgery is performed before tissue damage or death occurs.[medical-dictionary.thefreedictionary.com]

Etiology

  • Despite various hypotheses, the etiology remains unknown. It could be primary or secondary.[casereports.in]
  • Etiological spectrum of dynamic intestinal obstruction. Gomal J Med Sci. 2007; 5 :59 – 61. 4. Parashar UD, Holman RC, Cummings KC, Staggs NW, Curns AT, Zimmerman CM, et al.[tropicalgastro.com]
  • The etiology of adhesions is usually related to prior abdominal surgery, although congenital bands and adhesions from intraabdominal or pelvic inflammatory processes may be responsible.[newportlaparoscopy.net]
  • The etiologic factors could be either congenital or acquired causes.[ijri.org]
  • Etiology: Primary - Idiopathic Seen in children; no lead point Peak incidence 3 - 9 months Hyperplasia of Payer’s patches in the terminal ileum - Secondary to weaning - URTI due to adenovirus or rotavirus Adults – Secondary Meckel’s diverticulum, HS Purpura[slideshare.net]

Epidemiology

  • Epidemiology Incidence True incidence is difficult to determine because some adhesions are asymptomatic.[unboundmedicine.com]
  • Da Ros, C.T. and Schmitt, C.D.S. (2008) Global epidemiology of sexually transmitted diseases. Asian Journal of Andrology, 10, 110-114.[file.scirp.org]
  • Epidemiology Of all patients admitted to hospital with intestinal obstruction, most have small intestinal obstruction. Significant numbers of colorectal malignancies present with obstruction.[patient.info]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology and prevention of postoperative peritoneal adhesions. World J Gastroenterol. 2011;17(41):4545–4553. [View Abstract on OvidMedline] Diamond MP, Burns EL, Accomando B, et al.[5minuteconsult.com]
  • Pathophysiology [ edit ] Adhesions form as a natural part of the body’s healing process after surgery in a similar way that a scar forms.[en.wikipedia.org]
  • Pathophysiology and prevention of postoperative peritoneal adhesions. World J Gastroenterol. 2011;17(41):4545–4553. [PMID:22147959] Moris D, Chakedis J, Rahnemai-Azar AA, et al.[unboundmedicine.com]
  • ., “Peritoneal adhesions: etiology, pathophysiology, and clinical significance. Recent advances in prevention and management,” Dig Surg, 18(4). 260-273. 2001.[pubs.sciepub.com]
  • Pathophysiology of intra-abdominal adhesion and abscess formation, and the effect of hyaluronan. Br J Surg, 90 (2003), pp. 533-541 [27] R.S. Williams, A.M. Rossi, N. Chegini, G. Schultz.[elsevier.es]

Prevention

  • Experts in the field contribute to clinical standards for preventive measures to control the formation of postoperative adhesions[books.google.com]
  • "Adhesion prevention: a standard of care". Medical Association Communications. American Society of Reproductive Medicine. February 2002. a b "Adhesion Prevention: A Standard of Care". American Society for Reproductive Medicine.[en.wikipedia.org]
  • Primary prevention: Avoid abdominal infection or need for abdominal surgery.[unboundmedicine.com]
  • Such adhesions can cause Asherman's syndrome, closing the uterus and preventing menstruation.[medical-dictionary.thefreedictionary.com]
  • Prevention Methods to prevent adhesions include using biodegradable membranes or gels to separate organs at the end of surgery or performing laparoscopic (keyhole) surgery, which reduces the size of the incision and the handling of the organs.[hemorrhoid.net]

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