Symptoma

Pelvic Adhesions

Pelvic%2FIntrauterine Adhesions

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]

  • Malingering

    With many doctors unable to provide a diagnosis, or unwilling to tackle adhesions, psychosocial issues abound from unemployment, poor insurance coverage, lack of disability benefits and alienation by friends and family who only see a malingering, drug [hormonesmatter.com]

  • 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]

    pain or bloating after eating, and pain consistently in a particular location that is increased when resting in certain positions. [thenewjerseypelvicpaincenter.com]

    Chronic abdominal pain In one study following 198 patients after lower gastrointestinal tract surgery for adhesive small bowel obstruction, 40% (34% to 47%; I 2 not applicable) of patients developed chronic abdominal pain. [bmj.com]

  • Pelvic Pain

    We Treat Pelvic Pain Without Drugs or Surgery Pelvic pain can be debilitating. Many women are frustrated to find that their physician doesn’t always know the cause of their pain. [clearpassage.com]

  • 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]

    #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]

    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]

    Dyspareunia – Pain during sexual intercourse. This can be caused when the ovaries become stuck down by scar tissue and can result in pain during deep penetration. [pelvicpain.org.uk]

  • Dysmenorrhea

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

    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]

  • 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]

    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]

  • Adnexal Tenderness

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

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]

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]

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]

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]

Severity of adhesions (type and size) extensive and dense adhesions have a poor prognosis of surgery 5. Coexistent infertility factors, for example: poor semen, suspected cervical or immunological causes. 6. Experience of the surgeon. 7. [layyous.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]

Shrier, I. and Gordon, P.H. (2000) Etiology of small bowel obstruction. [scirp.org]

[…] 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 Wiseman, D. M. [hormonesmatter.com]

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

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

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]