Adhesions present at the time of the second-look procedure were reduced from initial presentation at most sites; however, nonlaser infertility surgery appeared to have equal or greater efficacy in the prevention of adhesion formation at most sites. [ncbi.nlm.nih.gov]

• Hunting

  Cox MR, Gunn IF, Eastman MC, Hunt RF, Heinz AW. The operative aetiology and types of adhesions causing small bowel obstruction. Aust N Z J Surg 1993;63:848-52. 8. Menzies D. Peritoneal adhesions: incidence, cause and prevention. [ijri.org]

• Abdominal Pain

  Related Articles: Left Side Abdominal Pain Right Side Abdominal Pain Acute Severe Abdominal Pian Chronic Constipation References: Asherman’s syndrome caused by intrauterine adhesions (nwh.org) Adhesions between the liver and diaphragm in STD (emedicine.medscape.com [healthhype.com]

  They are the common cause of abdominal pain and bowel blockages. Adhesions in the pelvis and abdomen occurs due to inflammation of the inner lining of abdominal organs. [beverlyhillsurogyn.com]

  Adhesions may be responsible for chronic persistent abdominal pain without associated pelvic pathology. Though adhesions probably cause pain by entrapment of expansile viscera, the relationship of adhesions to abdominal pain is still controversial. [endogyn.com]

  Abdominal adhesions are important because they are a common cause of abdominal symptoms, particularly abdominal pain and they can cause bowel blockages or obstruction. [medicinenet.com]

• Suggestibility

  But if your doctor thinks that you have a bowel obstruction or severe pain because of an adhesion, they might suggest you go into hospital for treatment. [bupa.co.uk]

  Abstract It has been suggested that the carbon dioxide (CO2) laser, by virtue of its hypothetical capabilities for precise incisions, minimization of tissue handling and bleeding, and shortened operating time, may improve the success rate of gynecologic [ncbi.nlm.nih.gov]

• Pelvic Pain

  OBJECTIVE: To demonstrate the presence of nerve fibers in pelvic adhesions potentially capable of conducting pain stimuli. METHODS: Pelvic adhesions from 17 patients, ten of whom had a history of pelvic pain, were examined histologically. [ncbi.nlm.nih.gov]

  Chronic pelvic pain is defined as pain that lasts longer than six months. [clearpassage.com]

  If the bowel becomes obstructed, distention will cause pain. Some patients in whom chronic pelvic pain has lasted more than six months may develop "Chronic Pelvic Pain Syndrome.” [adhesions.org]

• Dyspareunia

  You can expect a quicker, less painful recovery from: Endometriosis Uterine fibroids Interstitial cystitis Pelvic floor dysfunction Dyspareunia (pain with intimacy) Pelvic adhesions, scar tissue and other causes of pelvic pain You do not have to accept [maternalgynerations.net]

  For example, adhesions involving the female reproductive organs (ovaries, Fallopian tubes) can and do cause infertility, dyspareunia (painful intercourse) and debilitating pelvic pain. [edsinfo.wordpress.com]

  #1 I have a question regarding coding of lap. lysis of pelvic adhesions: Our physicians' dictation states as follows (I am only putting the information pertinant to the procedure): Preop Diagnosis: Pelvic pain, dyspareunia, probable pelvic adhesive disease [aapc.com]

• Pelvic Pain in Women

  Pain in Women Figure 2 Algorithm for the evaluation and treatment of chronic pelvic pain in women presenting to primary care. [aafp.org]

  Pelvic Pain in Women Pelvic pain is more common in women. There are many different causes of pain in your pelvis. [patient.info]

  Other studies find that adhesions are the most common reason for chronic pelvic pain in women. This pain occurs because adhesions bind together normally separate organs and tissues. [healthywomen.org]

• Dysmenorrhea

  Combined oral contraceptive pill (OCP) as treatment for primary dysmenorrhea. Cochrane Database Syst Rev. 2001(4):CD002120. 22. Schlaff WD, Carson SA, Luciano A, Ross D, Bergqvist A. [aafp.org]

  These cells then create an acute inflammatory reaction during menses that can result in pain (dysmenorrhea) and/or local pelvic adhesions. [thenewjerseyfemaleinfertilitycenter.com]

• Adnexal Mass

  Physical examination predictors associated with the presence of adhesions were uterine immobility, a right adnexal mass and right adnexal tenderness. [ncbi.nlm.nih.gov]

  In its purest form, the ovarian remnant manifests as a cyclically painful, unilateral adnexal mass that is palpable on bimanual pelvic examination and can be visualized by transvaginal ultrasound, magnetic resonance imaging (MRI), or computed tomography [glowm.com]

View/Print Table SORT: KEY RECOMMENDATIONS FOR PRACTICE Clinical recommendation Evidence rating References If the initial history and physical examination do not reveal a specific diagnosis, the initial diagnostic workup should include: a complete blood [aafp.org]

Workup should include WBC, lactate, electrolytes, BUN/creatinine. [unboundmedicine.com]

Participants were randomly allocated to a treatment group (n=26) which was subjected to continuous peritoneal wash for 48h via two intraperitoneal drains, and a control group (n=26). [ncbi.nlm.nih.gov]

Treatment of adhesions Most people who have adhesions don’t need any treatment for them as, often, they don’t cause problems. [bupa.co.uk]

Agreement was present between surgeons regarding estimated prognosis for microsurgery and also in recommending management, particularly when prognosis was considered poor and IVF was recommended. [ncbi.nlm.nih.gov]

Outlook (Prognosis) The outcome is good in most cases. Possible Complications Adhesions can cause various disorders, depending on the tissues affected. In the eye, adhesion of the iris to the lens can lead to glaucoma. [ufhealth.org]

Avoiding repeated surgical adhesion removal, since each operation raises a risk for new adhesions Adhesions Formation Pathophysiology and Prognosis Within few hours after a surgical procedure (or other cause of tissue injury), inflammatory cells and fibrin [healthhype.com]

Adhesions Prognosis Adhesions requiring surgery commonly come back because surgery itself causes adhesions. [emedicinehealth.com]

RESULTS: There was a strong correlation between the degree of intratubal damage and the extent of pelvic adhesions when the etiology was previous pelvic inflammatory disease (PID) but not when the underlying etiology was endometriosis. [ncbi.nlm.nih.gov]

A unifying Pathogenic Mechanism in the Etiology of Intraperitoneal Adhesions. J. Surg. Research. 20: 1–5. CrossRef Google Scholar 9. O'Leary, D. P., and J. B. Coakley. 1992. [link.springer.com]

The etiologic factors could be either congenital or acquired causes. [ijri.org]

With her husband, massage therapist Larry Wurn, Belinda took a much deeper look at the etiology and biomechanics of adhesion formation. [clearpassage.com]

Monk, B.J., Berman, M.L. and Montz, F.J. ( 1994 ) Adhesions after extensive gynecologic surgery: Clinical significance, etiology, and prevention. Am. J. Obstet. Gynecol. 170, 1396 –1403. [academic.oup.com]

[…] rzteblatt International, 107, 769-775. [ 14 ] Attard, J.A.P. and MacLean, A.R. (2007) Adhesive small bowel obstruction: Epidemiology, biology and prevention. [scirp.org]

Adhesion-related readmissions following gynaecological laparoscopy or laparotomy in Scotland: an epidemiological study of 24 046 patients. Hum Reprod 2004 ; 19 : 1877 -85. ↵ Higgins J, Green S. [bmj.com]

Epidemiology of systemic lupus erythematosus: a comparison of worldwide disease burden. Lupus. 2006; 15(5): 308-318. PubMed | Google Scholar Nietert PJ, Mitchell HC, Bolster MB, Shaftman SR, Tilley BC, Silver RM. [panafrican-med-journal.com]

Adhesion-related readmissions following gynaecological laparoscopy or laparotomy in Scotland: an epidemiological study of 24 046 patients. Hum Reprod. 2004; 19:1877 http://www.ncbi.nlm.nih.gov/pubmed/15178659 Wiseman, D. M. [hormonesmatter.com]

Adhesions share an array of characteristics with many other diseases whose pathophysiology lies on fibroblastic activity. [panafrican-med-journal.com]

OBJECTIVE: The pathophysiologic processes that result in wound healing are the same regardless of the tissue involved. [ncbi.nlm.nih.gov]

Pathophysiology of Pelvic pain Go top Pathophysiology of pelvic pain is specific and different from other somatic pain : different nociceptors, different activation. See slides of a presentation on pathophysiology. [gynsurgery.org]

Some major landmarks led to the development of the intraperitoneal substances currently used to prevent postoperative pelvic adhesions. [ncbi.nlm.nih.gov]

Use of adhesion prevention products Some adhesion prevention products have been removed from the market in recent years. [pelvicpain.org.uk]

What surgical techniques help prevent adhesions? DECHERNEY: Let’s review the aspects of surgical technique that are important for adhesion prevention. [obgmanagement.com]