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]

• 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]

• Chronic Abdominal Pain

  Although many women develop adhesions after surgery and never know it, in some women adhesions can cause serious complications, including: Pelvic pain: One study found that 82 percent of 224 patients suffering from chronic abdominal pain had adhesions [healthywomen.org]

  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]

  A person with ARD will usually experience chronic abdominal pain. Typical adhesions form within the first few days after surgery, but symptoms can last for months or even years. [betterhealth.vic.gov.au]

• Abdominal Cramps

  Obstruction may cause poor appetite, dry skin and mouth, severe thirst, infrequent urination (from dehydration), nausea, vomiting, abdominal cramps, constipation, inability to pass gas, abdominal swelling (from collection of food, fluid and gas in the [healthhype.com]

  Partial or off-and-on intestinal obstruction due to adhesions may result in intermittent periods of painful abdominal cramping and other symptoms, including diarrhea. [medical-dictionary.thefreedictionary.com]

• Intestinal Disease

  ”[tiab] OR intestinal disease/surgery[mesh] OR abdomen/surgery[mesh] OR peritoneum/surgery[mesh] OR Laparoscopy[mesh] OR laparotomy[mesh] OR laparo*[tiab] Intervention Tissue adhesions[mesh] OR adhes*[tiab]) AND (abdo*[tiab] OR abdomen[mesh] OR pelvis [bmj.com]

• Rectal Bleeding

  Symptoms of this disorder, known as strangulation, include sudden, severe, crampy or steady abdominal pain, nausea, vomiting and rectal bleeding. 3. [healthhype.com]

• Muscle Spasm

  muscle spasm if used in the inappropriately selected patient. [glowm.com]

• Ulcer

  Inflammation The following can be caused by: Inflammation: pelvic inflammatory disease, inflammatory bowel diseases (Crohn’s disease, ulcerative colitis) appendicitis, especially if the appendix ruptures. Endometriosis. [pelvicpain.org.uk]

  Inflammation Inflammation, like appendicitis, pelvic inflammatory disease (PID), Crohn’s disease or ulcerative colitis may all result in adhesions. 3. [healthhype.com]

  Inflammatory and infectious processes that can cause adhesions include: SIBO colitis gastritis hepatitis diverticulitis appendicitis cholecystitis endometriosis gastroenteritis perforated ulcer cystitis or vaginitis pelvic inflammatory disease (PID) perforated [clearpassage.com]

• 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

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

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

  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]

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]

OBJECTIVE: Aim of the study was to test the effectiveness of pharmacological treatment and regional anesthesia techniques for pain control as the next step of treatment after the lack of clinical results of surgical and pharmacological methods normally [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]

Epidemiology Incidence True incidence is difficult to determine because some adhesions are asymptomatic. [unboundmedicine.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]

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

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