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Peritoneal Adhesion
Peritoneum Adhesion

Presentation

This book presents the current knowledge on the aetiopathogenesis of adhesion formation as well as the available methods for their prevention and control. [link.springer.com]

The present study presents an investigation of the tissue reaction after 2, 4 and 8 days in an animal model. [frontiersin.org]

The present study examined the effect of the presence of intra-abdominal adhesion or on both dialysis adequacy and outcomes in incident peritoneal dialysis patients and has three major findings. [hindawi.com]

CONCLUSIONS: Myofibroblasts are the main connective tissue cells present in human peritoneal adhesions, and mast cells play a direct role in peritoneal adhesion formation. [ncbi.nlm.nih.gov]

Entire Body System

  • Metallurgist

    SAM provides the means for materials scientists, chemists, physicists, biologists, engineers, ceramicists, metallurgists, theoreticians and technocrats to publish original research articles as reviews with author's photo and short biography, full research [ingentaconnect.com]

Gastrointestinal

  • Chronic Abdominal Pain

    […] adhesions can cause adhesive small bowel obstruction, chronic abdominal pain and female infertility. [uu.diva-portal.org]

    Postsurgical peritoneal adhesions lead to severe complications including chronic abdominal pain, female infertility, and small bowel obstruction. Adhesions can be minimized by introducing a physical barrier film between the tissues after surgery. [ingentaconnect.com]

    Another valid, albeit less definitive, sequela of intra-abdominal adhesions is chronic abdominal pain. [emedicine.medscape.com]

    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]

  • Peritoneal Disease

    This knowledge reflects the understanding of the peritoneal anatomy, deep knowledge of which is very important in determining the cause and extent of peritoneal diseases as well as in decision making when choosing the appropriate therapeutic approach, [ncbi.nlm.nih.gov]

    The clinical demand for knowledge and improved management of patients with peritoneal diseases, in particular cancer, has never been greater. [degruyter.com]

    Two registries claim to include all patients with peritoneal surface disease of the specific disease in the country. [tandfonline.com]

  • Abdominal Distension

    History Prior abdominal surgery History of abdominal infection or pelvic inflammatory disease Bowel complaints: Crampy abdominal pain Nausea, vomiting Minimal to no flatus Loud bowel sounds (borborygmi) Abdominal distension If involving a pelvic structure [unboundmedicine.com]

  • Recurrent Abdominal Pain

    Clinically, all patients were in a late stage of the disease with recurrent abdominal pain caused by chronic bowel obstruction. All patients had given their informed consent regarding a scientific work-up of tissues taken during routine procedures. [journals.plos.org]

Workup

Asymmetry of soft palate with uvular deviation Neck ROM Quality of voice Lymphadenopathy Workup: Labs: CBC Imaging Not required, but consider CT scan if significant decreased neck ROM with pain on turning, to assess posterior pharyngeal space involvement [medicine.uiowa.edu]

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

Cost-effective workup for tonsillitis. Testing, treatment, and potential complications. Postgrad Med. 2003 Mar;113(3):115-8, 121. [PubMed: 12647478] 9. Galioto NJ. Peritonsillar Abscess. Am Fam Physician. 2017 Apr 15;95(8):501-506. [ncbi.nlm.nih.gov]

[…] out other causes) Intraoral ultrasonography Computed tomography (CT) of the head and neck with intravenous (IV) contrast (if incision and drainage fails, if the patient cannot open his or her mouth, or if the patient is young and uncooperative) See Workup [emedicine.medscape.com]

Treatment

Overcoming the numerous stimuli to adhesion formation is not an easy task, and there remains no currently available treatment for the prevention of adhesions without certain caveats to its use. [digital.library.adelaide.edu.au]

As explosive endpoints, we will examination the expression of VEGF-A in peritoneal cavity during the treatment. [clinicaltrials.gov]

A more comprehensive understanding of the pathogenesis of adhesion formation at cellular and molecular levels is needed to streamline preventative treatment strategies [ 10 ]. [ncbi.nlm.nih.gov]

Other treatments Various other medicines and treatments have been used with some success. [patient.info]

Prognosis

Further, the peritoneal adhesion may impede treatment of primary tumor, such as operation or chemotherapy, lead to a poor prognosis. [clinicaltrials.gov]

Prognosis The prognosis of pemphigus has markedly improved over the last decades with steroid therapy. Nevertheless, mortality remains an issue (5% of cases). [orpha.net]

Patients in whom systemic therapy fails have a poor prognosis, with a median survival time of 2 months [1]. [bjui-journals.onlinelibrary.wiley.com]

The prognosis after the HIPEC treatment varies, and mainly depends on the origin of the tumor and the amount of cancer in the abdomen at the time of diagnosis. The number of patients with complications has been steadily decreasing in recent decades. [phg.eu]

Doppler probe pressure may elicit movement of the debris within the abscess heterogeneous, poorly defined margins may also demonstrate surrounding hyperechoic rim color flow or power Doppler may demonstrate circumferential hyperemia 8 Treatment and prognosis [radiopaedia.org]

Etiology

Review Peritoneal adhesions: etiology, pathophysiology, and clinical significance. Recent advances in prevention and management T Liakakos et al. Dig Surg. 2001. [pubmed.ncbi.nlm.nih.gov]

AIM: To summarize the most common etiologic factors and describe the pathophysiology in the formation of peritoneal adhesions, to outline their clinical significance and consequences, and to evaluate the pharmacologic, mechanical, and surgical adjuvant [ncbi.nlm.nih.gov]

Needle pericardiocentesis is often best when the etiology is known or the presence of tamponade is in question. Surgical drainage is best when the presence of tamponade is certain but the etiology is unclear. [merckmanuals.com]

Consider rheumatic fever as an etiology in any child with pericarditis. However, this disease is not a demonstrated cause of constrictive pericarditis. [emedicine.medscape.com]

Epidemiology

Adhesive small bowel obstruction: epidemiology, biology and prevention. Attard JA, MacLean AR. Attard JA, et al. Can J Surg. 2007 Aug;50(4):291-300. Can J Surg. 2007. PMID: 17897517 Free PMC article. Review. [pubmed.ncbi.nlm.nih.gov]

METHODS: We performed an extensive MEDLINE search of the internationally published English literature of all medical and epidemiological journal articles, textbooks, scientific reports, and scientific journals from 1940 to 1997. [ncbi.nlm.nih.gov]

Summary Epidemiology Prevalence is estimated at approximately 1/2,630. Clinical description Onset occurs on average at 50-60 years, although childhood onset forms have been described. [orpha.net]

Epidemiology In the US, there are 30 per 100,000 persons years (45,000 cases annually). Most infections occur during November to December and April to May, coinciding with the highest incidence of streptococcus pharyngitis and exudative tonsilitis. [pedclerk.uchicago.edu]

For this reason, assessment of quality puts particular emphasis on the evaluation of clinical and epidemiological data. [karger.com]

Pathophysiology

Review Peritoneal adhesions: etiology, pathophysiology, and clinical significance. Recent advances in prevention and management T Liakakos et al. Dig Surg. 2001. [pubmed.ncbi.nlm.nih.gov]

AIM: To summarize the most common etiologic factors and describe the pathophysiology in the formation of peritoneal adhesions, to outline their clinical significance and consequences, and to evaluate the pharmacologic, mechanical, and surgical adjuvant [ncbi.nlm.nih.gov]

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]

Prevention

This book presents the current knowledge on the aetiopathogenesis of adhesion formation as well as the available methods for their prevention and control. [link.springer.com]

Recent advances in prevention and management T Liakakos et al. Dig Surg. 2001. [pubmed.ncbi.nlm.nih.gov]

The results show the potential of the novel dual crosslinked HA-based NFMs in prolonged adhesion prevention. [pubs.rsc.org]

In this book, experts in the field address peritoneal repair, the role of surgical technique to prevent adhesions, adhesion formation, complications of adhesions, and developing technology in the prevention of adhesions. [books.google.de]

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