Adhesiolysis was associated with an increased risk for a variety of morbidities during repeat abdominal surgery including inadvertent bowel defects, seromuscular injuries, and postoperative sepsis, according to the results of a prospective study.
"All physicians treating patients with disorders of the abdominal cavity that might require surgery should be aware of the adverse effects of adhesiolysis," reported Dr. Richard P.G. ten Broek and his associates in the department of surgery at Radboud University Nijmegen (the Netherlands) Medical Center. The study was published in Annals of Surgery (2013;258:98-106).
The investigators conducted the prospective cohort study to evaluate the direct effects of adhesiolysis on unintentional organ damage, morbidity, and costs during repeat operations, to address the lack of information in this area. They collected data from a total of 755 elective laparotomy or laparoscopy procedures in 715 patients performed at the medical center between June 2008 and June 2010.