Showing posts with label dense fibrous adhesions. Show all posts
Showing posts with label dense fibrous adhesions. Show all posts
Friday, December 13, 2013
Saturday, December 03, 2011
[Postoperative abdominal adhesions and their prevention in gynaecological surgery: I. What should you know?
Gynecol Obstet Fertil. 2011 Nov 28. [Epub ahead of print]
[Postoperative abdominal adhesions and their prevention in gynaecological surgery: I. What should you know?]
[Article in French]
Audebert A, Darai E, Bénifla JL, Yazbeck C, Déchaud H, Wattiez A, Crowe A, Pouly JL.
SourceService d'endoscopie gynécologique, polyclinique de Bordeaux, 145, rue du Tondu, 33000 Bordeaux, France.
Abstract
Adhesions are the most frequent complications of abdominopelvic surgery, causing important short- and long-term problems, including infertility, chronic pelvic pain and a lifetime risk of small bowel obstruction. They also complicate future surgery with increased morbidity and mortality risk. They pose serious quality of life issues for many patients with associated social and healthcare costs. Despite advances in surgical techniques, including laparoscopy, the healthcare burden of adhesion-related complications has not changed in recent years. Adhesiolysis remains the main treatment although adhesions reform in many patients. The extent of the problem of adhesions has been underestimated by surgeons and the health authorities. There is rising evidence however that surgeons can take important steps to reduce the impact of adhesions. As well as improvements in surgical technique, developments in adhesion-reduction strategies and new agents offer a realistic possibility of reducing adhesion formation and improving outcomes for patients. This paper is the first of a two-part publication providing a comprehensive overview of the evidence on adhesions to allow gynaecological surgeons to be best informed on adhesions, their development, impact on patients, health systems and surgical outcomes. In the second paper we review the various strategies to reduce the impact of adhesions and improve surgical outcomes to assist fellow surgeons in France to consider the adoption of adhesion reduction strategies in their own practice.
http://www.ncbi.nlm.nih.gov/pubmed/22129851
[Postoperative abdominal adhesions and their prevention in gynaecological surgery: I. What should you know?]
[Article in French]
Audebert A, Darai E, Bénifla JL, Yazbeck C, Déchaud H, Wattiez A, Crowe A, Pouly JL.
SourceService d'endoscopie gynécologique, polyclinique de Bordeaux, 145, rue du Tondu, 33000 Bordeaux, France.
Abstract
Adhesions are the most frequent complications of abdominopelvic surgery, causing important short- and long-term problems, including infertility, chronic pelvic pain and a lifetime risk of small bowel obstruction. They also complicate future surgery with increased morbidity and mortality risk. They pose serious quality of life issues for many patients with associated social and healthcare costs. Despite advances in surgical techniques, including laparoscopy, the healthcare burden of adhesion-related complications has not changed in recent years. Adhesiolysis remains the main treatment although adhesions reform in many patients. The extent of the problem of adhesions has been underestimated by surgeons and the health authorities. There is rising evidence however that surgeons can take important steps to reduce the impact of adhesions. As well as improvements in surgical technique, developments in adhesion-reduction strategies and new agents offer a realistic possibility of reducing adhesion formation and improving outcomes for patients. This paper is the first of a two-part publication providing a comprehensive overview of the evidence on adhesions to allow gynaecological surgeons to be best informed on adhesions, their development, impact on patients, health systems and surgical outcomes. In the second paper we review the various strategies to reduce the impact of adhesions and improve surgical outcomes to assist fellow surgeons in France to consider the adoption of adhesion reduction strategies in their own practice.
http://www.ncbi.nlm.nih.gov/pubmed/22129851
Friday, November 04, 2011
Current Trials from Clinicaltrials.gov ~ Keyword Adhesiolysis
Current Trials from Clinicaltrials.gov ~ Keyword Adhesiolysis
http://www.clinicaltrials.gov/ct2/results?term=adhesiolysis
Found 13 studies with search of: adhesiolysis
Hide studies that are not seeking new volunteers.
Hide studies with unknown recruitment status. Display Options Rank Status Study
1 Active, not recruiting The Effect of Adhesiolysis During Elective Abdominal Surgery on Per- and Postoperative Complication, Quality of Life and Socioeconomic Costs Condition: Tissue Adhesions
Intervention: Procedure: Adhesiolysis
2 Enrolling by invitation A Randomized, Equivalence Trial of Percutaneous Lumbar Adhesiolysis and Caudal Epidural Steroid Injections Condition: Low Back Pain
Interventions: Procedure: Caudal Epidural Injection; Procedure: percutaneous adhesiolysis
3 Active, not recruiting Effectiveness of Percutaneous Lumbar Epidural Adhesiolysis and Neurolysis on Low Back Pain Condition: Chronic Low Back Pain
Interventions: Procedure: Percutaneous adhesiolysis with hypertonic saline neurolysis; Device: RK needle and Racz catheter system; Drug: local anesthetic, steroid, 10% sodium chloride solution
4 Enrolling by invitation Role of Steroids and 10% Hypertonic Sodium Chloride in Adhesiolysis in Post Lumbar Surgery Syndrome Patients Condition: Low Back Pain
Interventions: Drug: Celestone; Drug: Substitute Celestone; Drug: Substitute Hypertonic Sodium Chloride; Drug: Substitute hypertonic sodium chloride and Celestone
5 Not yet recruiting Adhesiolysis in Chronic Abdominal Pain Condition: Chronic Abdominal Pain
Interventions: Procedure: Laparoscopic adhesiolysis; Procedure: Placebo-surgery
6 Recruiting Comparative Effectiveness Multicenter Trial for Adhesion Characteristics of Ventral Hernia Repair Mesh Conditions: Ventral Hernia; Adhesions
Intervention: Procedure: Clinically-Indicated Abdominal Re-Exploration Surgery
7 Not yet recruiting Prospective Multicenter Validation of a Severity Score of Strangulated Small Bowel Occlusion Condition: Intestinal Obstruction
Intervention: Procedure: Conservative treatment versus surgical treatment
8 Not yet recruiting An Adhesion Reduction Plan in the Management of the Surgical Open Abdomen Condition: Open Abdomen
Intervention: Procedure: Adhesion Reduction Plan
9 Recruiting Video-assisted Hyperthermic Pleural Chemoperfusion vs Talc Pleurodesis for Refractory Malignant Pleural Effusions. Conditions: Safety of Intervention; Efficacy of Intervention; Cost Effectiveness
Interventions: Procedure: VATS hyperthermic chemoperfusion; Procedure: Bedside talc slurry pleurodesis
10 Completed Study of Fluid Collection of the Chest in Children With Pneumonia Conditions: Community Acquired Bacterial Pneumonia; Paraneumonic Effusion
Intervention: Procedure: Video Assisted Thorascopic Surgery Thoracostomy Tube Placement & Drainage
11 Unknown † Seprafilm® for Prevention of Adhesions at Repeat Cesarean Condition: Adhesion Formation After Primary Cesarean Delivery
Interventions: Device: Seprafilm®; Other: Control
12 Unknown † Functional Outcome After Incisional Hernia Repair: Open Versus Laparoscopic Repair Conditions: Hernia, Ventral; Body Image; Respiratory Function Tests; Quality of Life; Laparoscopy
Interventions: Procedure: Laparoscopic repair; Procedure: Open midline incisional hernia repair
13 Recruiting Pilot Study of Hyperthermic Peritoneal Perfusion (HIPEC) for Adolescent and Young Adults With Desmoplastic Small Round Cell Tumor Conditions: Advanced Cancers; Sarcoma
Interventions: Procedure: Hyperthermic Peritoneal Perfusion (HIPEC); Drug: Cisplatin
http://www.clinicaltrials.gov/ct2/results?term=adhesiolysis
Found 13 studies with search of: adhesiolysis
Hide studies that are not seeking new volunteers.
Hide studies with unknown recruitment status. Display Options Rank Status Study
1 Active, not recruiting The Effect of Adhesiolysis During Elective Abdominal Surgery on Per- and Postoperative Complication, Quality of Life and Socioeconomic Costs Condition: Tissue Adhesions
Intervention: Procedure: Adhesiolysis
2 Enrolling by invitation A Randomized, Equivalence Trial of Percutaneous Lumbar Adhesiolysis and Caudal Epidural Steroid Injections Condition: Low Back Pain
Interventions: Procedure: Caudal Epidural Injection; Procedure: percutaneous adhesiolysis
3 Active, not recruiting Effectiveness of Percutaneous Lumbar Epidural Adhesiolysis and Neurolysis on Low Back Pain Condition: Chronic Low Back Pain
Interventions: Procedure: Percutaneous adhesiolysis with hypertonic saline neurolysis; Device: RK needle and Racz catheter system; Drug: local anesthetic, steroid, 10% sodium chloride solution
4 Enrolling by invitation Role of Steroids and 10% Hypertonic Sodium Chloride in Adhesiolysis in Post Lumbar Surgery Syndrome Patients Condition: Low Back Pain
Interventions: Drug: Celestone; Drug: Substitute Celestone; Drug: Substitute Hypertonic Sodium Chloride; Drug: Substitute hypertonic sodium chloride and Celestone
5 Not yet recruiting Adhesiolysis in Chronic Abdominal Pain Condition: Chronic Abdominal Pain
Interventions: Procedure: Laparoscopic adhesiolysis; Procedure: Placebo-surgery
6 Recruiting Comparative Effectiveness Multicenter Trial for Adhesion Characteristics of Ventral Hernia Repair Mesh Conditions: Ventral Hernia; Adhesions
Intervention: Procedure: Clinically-Indicated Abdominal Re-Exploration Surgery
7 Not yet recruiting Prospective Multicenter Validation of a Severity Score of Strangulated Small Bowel Occlusion Condition: Intestinal Obstruction
Intervention: Procedure: Conservative treatment versus surgical treatment
8 Not yet recruiting An Adhesion Reduction Plan in the Management of the Surgical Open Abdomen Condition: Open Abdomen
Intervention: Procedure: Adhesion Reduction Plan
9 Recruiting Video-assisted Hyperthermic Pleural Chemoperfusion vs Talc Pleurodesis for Refractory Malignant Pleural Effusions. Conditions: Safety of Intervention; Efficacy of Intervention; Cost Effectiveness
Interventions: Procedure: VATS hyperthermic chemoperfusion; Procedure: Bedside talc slurry pleurodesis
10 Completed Study of Fluid Collection of the Chest in Children With Pneumonia Conditions: Community Acquired Bacterial Pneumonia; Paraneumonic Effusion
Intervention: Procedure: Video Assisted Thorascopic Surgery Thoracostomy Tube Placement & Drainage
11 Unknown † Seprafilm® for Prevention of Adhesions at Repeat Cesarean Condition: Adhesion Formation After Primary Cesarean Delivery
Interventions: Device: Seprafilm®; Other: Control
12 Unknown † Functional Outcome After Incisional Hernia Repair: Open Versus Laparoscopic Repair Conditions: Hernia, Ventral; Body Image; Respiratory Function Tests; Quality of Life; Laparoscopy
Interventions: Procedure: Laparoscopic repair; Procedure: Open midline incisional hernia repair
13 Recruiting Pilot Study of Hyperthermic Peritoneal Perfusion (HIPEC) for Adolescent and Young Adults With Desmoplastic Small Round Cell Tumor Conditions: Advanced Cancers; Sarcoma
Interventions: Procedure: Hyperthermic Peritoneal Perfusion (HIPEC); Drug: Cisplatin
Thursday, October 27, 2011
Health director defends handling of Penan child’s birth ~ C Section Adhesions
Health director defends handling of Penan child’s birth
MIRI: The State Health Department yesterday said standard care and management were provided to a Penan mother Seri Yung and her baby by its staff in Limbang and Miri hospitals but apologised for not waiving the charges.
In a statement, its state director Dr Zulkifli Jantan said complications due to lack of oxygen supply (hypoxic ischaemic encephalopathy) was the cause of the infant’s death. It was brought about by the extra long time needed in the ceasarian operation due to massive adhesions present.
“The department would like to state that all reasonable care and management have been duly provided to both Seri Yung and her infant while in Limbang and Miri hospitals,” he said.
The statement was in response to a letter highlighted through Batu Lintang assemblyman See Chee How that a Penan couple from Limbang was requesting an inquest into the death of their infant and case management.
The couple also alleged that they were verbally abused, and were forced to borrow money to pay the RM180 hospital charges.
The department apologised over the flap (on hospital charges), saying it was due to miscommunication. The patient had described herself as a Rela staff and not as a Penan, and therefore was charged accordingly.
“If she had presented herself as a Penan who could not afford the charges, the fee exemption could have been activated on the spot. For this (misunderstanding), we would like to tender our sincere apologies,” Dr Zulkifli said.
He said Seri had a previous Ceasarian operation to deliver her first baby in 2006, and in the recent case, an emergency operation was needed due to the prolonged labour.
She came to Limbang hospital at the early stage of her labour, diagnosed as a high risk patient and was sent by an ambulance to Miri Hospital on Oct 15 as her condition warranted it.
Labour commenced spontaneously in Miri Hospital and normal delivery trial was planned as previous Ceasarian operation did not contraindicate such, and the condition of mother and infant were monitored accordingly throughout.
“However, progress was slow and the infant began showing signs of distress, and a Ceasarian section was carried out but it was 30 minutes longer than normal due to extensive adhesions affecting the uterus and abdominal wall as a result of previous Ceasarian operation, “ he added.
The patient recovered from the operation without complications, and doctors at the Miri Hospital explained to her and her husband the whole incident, including about the infant.
The infant showed poor oxygenation upon birth at 4/10 in the first minute assessment and improved to 5/10 in five minutes. Emergency and intensive care was provided from birth until the infant girl passed away on Oct 17 caused by lack of oxygen due to longer than expected operation.
“The situation could not have been dealt with in a different way. Although it is common to have some adhesions from a previous Ceasarian operation, it is not common to have the extensive adhesions that this unfortunate patient had,” he added.
Dr Zulkifli said that the care and management of the mother and infant from Limbang to Miri hospitals were correct and appropriate.
The date mentioned by See (Chee How) contradicted with the department’s chronology of event. The infant was reported to have died on Oct 15 after Seri Yung was transferred to Miri hospital on Oct 13.
The Batu Lintang assemblyman said nothing short of a public apology from Miri Hospital would suffice as the couple was hurt and disappointed for losing their baby girl and also subject to needless criticism and humiliations for their financial hardships.
Meanwhile, on the imposition of RM180 hospital charges, the Miri Hospital director Dr Jack Wong said a breakdown in communication could be the cause.
He said the hospital could not ascertain at that point of time, the status of the patients (Seri and daughter) – whether they were entitled to a waiver of the hospital charges.
“However, we are prepared to waive the charges and to meet Seri and her husband, Roy Dumani. We will work out a mechanism to help solve the problems,” said Dr Wong.
On allegations of verbal abuse by the hospital staff, Dr Wong said investigation was being carried out.
Read more: http://www.theborneopost.com/2011/10/21/health-director-defends-handling-of-penan-child%e2%80%99s-birth/#ixzz1bz6LzV8X
MIRI: The State Health Department yesterday said standard care and management were provided to a Penan mother Seri Yung and her baby by its staff in Limbang and Miri hospitals but apologised for not waiving the charges.
In a statement, its state director Dr Zulkifli Jantan said complications due to lack of oxygen supply (hypoxic ischaemic encephalopathy) was the cause of the infant’s death. It was brought about by the extra long time needed in the ceasarian operation due to massive adhesions present.
“The department would like to state that all reasonable care and management have been duly provided to both Seri Yung and her infant while in Limbang and Miri hospitals,” he said.
The statement was in response to a letter highlighted through Batu Lintang assemblyman See Chee How that a Penan couple from Limbang was requesting an inquest into the death of their infant and case management.
The couple also alleged that they were verbally abused, and were forced to borrow money to pay the RM180 hospital charges.
The department apologised over the flap (on hospital charges), saying it was due to miscommunication. The patient had described herself as a Rela staff and not as a Penan, and therefore was charged accordingly.
“If she had presented herself as a Penan who could not afford the charges, the fee exemption could have been activated on the spot. For this (misunderstanding), we would like to tender our sincere apologies,” Dr Zulkifli said.
He said Seri had a previous Ceasarian operation to deliver her first baby in 2006, and in the recent case, an emergency operation was needed due to the prolonged labour.
She came to Limbang hospital at the early stage of her labour, diagnosed as a high risk patient and was sent by an ambulance to Miri Hospital on Oct 15 as her condition warranted it.
Labour commenced spontaneously in Miri Hospital and normal delivery trial was planned as previous Ceasarian operation did not contraindicate such, and the condition of mother and infant were monitored accordingly throughout.
“However, progress was slow and the infant began showing signs of distress, and a Ceasarian section was carried out but it was 30 minutes longer than normal due to extensive adhesions affecting the uterus and abdominal wall as a result of previous Ceasarian operation, “ he added.
The patient recovered from the operation without complications, and doctors at the Miri Hospital explained to her and her husband the whole incident, including about the infant.
The infant showed poor oxygenation upon birth at 4/10 in the first minute assessment and improved to 5/10 in five minutes. Emergency and intensive care was provided from birth until the infant girl passed away on Oct 17 caused by lack of oxygen due to longer than expected operation.
“The situation could not have been dealt with in a different way. Although it is common to have some adhesions from a previous Ceasarian operation, it is not common to have the extensive adhesions that this unfortunate patient had,” he added.
Dr Zulkifli said that the care and management of the mother and infant from Limbang to Miri hospitals were correct and appropriate.
The date mentioned by See (Chee How) contradicted with the department’s chronology of event. The infant was reported to have died on Oct 15 after Seri Yung was transferred to Miri hospital on Oct 13.
The Batu Lintang assemblyman said nothing short of a public apology from Miri Hospital would suffice as the couple was hurt and disappointed for losing their baby girl and also subject to needless criticism and humiliations for their financial hardships.
Meanwhile, on the imposition of RM180 hospital charges, the Miri Hospital director Dr Jack Wong said a breakdown in communication could be the cause.
He said the hospital could not ascertain at that point of time, the status of the patients (Seri and daughter) – whether they were entitled to a waiver of the hospital charges.
“However, we are prepared to waive the charges and to meet Seri and her husband, Roy Dumani. We will work out a mechanism to help solve the problems,” said Dr Wong.
On allegations of verbal abuse by the hospital staff, Dr Wong said investigation was being carried out.
Read more: http://www.theborneopost.com/2011/10/21/health-director-defends-handling-of-penan-child%e2%80%99s-birth/#ixzz1bz6LzV8X
Monday, October 24, 2011
The inpatient burden of abdominal and gynecological adhesiolysis in the US
BMC Surg. 2011; 11: 13.
Published online 2011 June 9. doi: 10.1186/1471-2482-11-13 PMCID: PMC3141363
Copyright ©2011 Sikirica et al; licensee BioMed Central Ltd.
The inpatient burden of abdominal and gynecological adhesiolysis in the US
Vanja Sikirica,1 Bela Bapat,2 Sean D Candrilli,2 Keith L Davis,2 Malcolm Wilson,3 and Alan Johns4
1Shire Pharmaceuticals, Wayne, PA 19087 USA
2RTI Health Solutions, 200 Park Offices, Research Triangle Park, NC 27709 USA
3The Christie NHS Foundation Trust, Manchester, M20 4BX, UK
4Texas Health Care, Fort Worth, TX 76109 USA
Corresponding author.
Vanja Sikirica: vsikirica@shire.com; Bela Bapat: bbapat@rti.org; Sean D Candrilli: scandrilli@rti.org; Keith L Davis: kldavis@rti.org; Malcolm Wilson: Malcolm.Wilson@christie.nhs.uk; Alan Johns: daj@womenssurgerygroup.com
Received January 5, 2011; Accepted June 9, 2011.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Other Sections▼
AbstractBackgroundMethodsResults and DiscussionConclusionsCompeting interestsAuthors' contributionsFundingPre-publication historyReferencesAbstractBackground
Adhesions are fibrous bands of scar tissue, often a result of surgery, that form between internal organs and tissues, joining them together abnormally. Postoperative adhesions frequently occur following abdominal surgery, and are associated with a large economic burden. This study examines the inpatient burden of adhesiolysis in the United States (i.e., number and rate of events, cost, length of stay [LOS]).Methods
Hospital discharge data for patients with primary and secondary adhesiolysis were analyzed using the 2005 Healthcare Cost and Utilization Project's Nationwide Inpatient Sample. Procedures were aggregated by body system.Results
We identified 351,777 adhesiolysis-related hospitalizations: 23.2% for primary and 76.8% for secondary adhesiolysis. The average LOS was 7.8 days for primary adhesiolysis. We found that 967,332 days of care were attributed to adhesiolysis-related procedures, with inpatient expenditures totaling $2.3 billion ($1.4 billion for primary adhesiolysis; $926 million for secondary adhesiolysis). Hospitalizations for adhesiolysis increased steadily by age and were higher for women. Of secondary adhesiolysis procedures, 46.3% involved the female reproductive tract, resulting in 57,005 additional days of care and $220 million in attributable costs.Conclusions
Adhesiolysis remain an important surgical problem in the United States. Hospitalization for this condition leads to high direct surgical costs, which should be of interest to providers and payers.Keywords: Adhesions, adhesiolysis, abdominal, gynecological, burden of illness, hospitalizations.
Read Full Abstract here: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3141363/?tool=pmcentrez
Published online 2011 June 9. doi: 10.1186/1471-2482-11-13 PMCID: PMC3141363
Copyright ©2011 Sikirica et al; licensee BioMed Central Ltd.
The inpatient burden of abdominal and gynecological adhesiolysis in the US
Vanja Sikirica,1 Bela Bapat,2 Sean D Candrilli,2 Keith L Davis,2 Malcolm Wilson,3 and Alan Johns4
1Shire Pharmaceuticals, Wayne, PA 19087 USA
2RTI Health Solutions, 200 Park Offices, Research Triangle Park, NC 27709 USA
3The Christie NHS Foundation Trust, Manchester, M20 4BX, UK
4Texas Health Care, Fort Worth, TX 76109 USA
Corresponding author.
Vanja Sikirica: vsikirica@shire.com; Bela Bapat: bbapat@rti.org; Sean D Candrilli: scandrilli@rti.org; Keith L Davis: kldavis@rti.org; Malcolm Wilson: Malcolm.Wilson@christie.nhs.uk; Alan Johns: daj@womenssurgerygroup.com
Received January 5, 2011; Accepted June 9, 2011.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Other Sections▼
AbstractBackgroundMethodsResults and DiscussionConclusionsCompeting interestsAuthors' contributionsFundingPre-publication historyReferencesAbstractBackground
Adhesions are fibrous bands of scar tissue, often a result of surgery, that form between internal organs and tissues, joining them together abnormally. Postoperative adhesions frequently occur following abdominal surgery, and are associated with a large economic burden. This study examines the inpatient burden of adhesiolysis in the United States (i.e., number and rate of events, cost, length of stay [LOS]).Methods
Hospital discharge data for patients with primary and secondary adhesiolysis were analyzed using the 2005 Healthcare Cost and Utilization Project's Nationwide Inpatient Sample. Procedures were aggregated by body system.Results
We identified 351,777 adhesiolysis-related hospitalizations: 23.2% for primary and 76.8% for secondary adhesiolysis. The average LOS was 7.8 days for primary adhesiolysis. We found that 967,332 days of care were attributed to adhesiolysis-related procedures, with inpatient expenditures totaling $2.3 billion ($1.4 billion for primary adhesiolysis; $926 million for secondary adhesiolysis). Hospitalizations for adhesiolysis increased steadily by age and were higher for women. Of secondary adhesiolysis procedures, 46.3% involved the female reproductive tract, resulting in 57,005 additional days of care and $220 million in attributable costs.Conclusions
Adhesiolysis remain an important surgical problem in the United States. Hospitalization for this condition leads to high direct surgical costs, which should be of interest to providers and payers.Keywords: Adhesions, adhesiolysis, abdominal, gynecological, burden of illness, hospitalizations.
Read Full Abstract here: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3141363/?tool=pmcentrez
Monday, September 26, 2011
O que é aderências distúrbio relacionado (ARD)?
Blogger note...this is one of many definitions Nota Blogger ... esta é uma das muitas definições
Adhesion related disorder is a complex of symptoms related to adhesions. Desordem adesão relacionados é um complexo de sintomas relacionados à aderências. Patient's primary complaint is usually chronic abdominal pain. Queixa primária do paciente é geralmente a dor abdominal crônica. Their symptoms can be primarily in one area of the abdomen but are often generalized, vague, crampy and difficult to define. Seus sintomas podem ser principalmente em uma região do abdome, mas são muitas vezes generalizada, vaga, cólica e difícil de definir. The symptoms of ARD could include: Os sintomas da ARD podem incluir:
Chronic pain Dor crônica
Infertility Infertilidade
Bowel obstruction Obstrução intestinal
Gastro-esophageal reflux disease, (GERD) Gastro-esofágico doença do refluxo (DRGE)
Urinary Bladder dysfunction Disfunção da bexiga urinária
Pain and difficulty having a bowel movement Dor e dificuldade de ter uma evacuação
Pain on movement such as: Walking, sitting or laying in certain positions. Dor em movimento, tais como: Andar a pé, sentado ou deitado em determinadas posições.
Loss of Nutrients due to poor eating habits or loss of appetite. Perda de nutrientes devido a maus hábitos alimentares ou perda de apetite.
Loss of employment due to lost work days Perda de emprego devido a dias de trabalho perdidos
Loss of family and social life Perda da vida familiar e social
Emotional Disorders such as: Depression, Thoughts of Suicide, Hopelessness Distúrbios emocionais, tais como: depressão, pensamentos de desesperança Suicide,
Other intestinal problems can accompany the pain. Outros problemas intestinais podem acompanhar a dor. Constipation or obstruction is sometimes encountered. Constipação ou obstrução às vezes é encontrado. Alternating constipation with diarrhea from partial obstruction can also be seen. Prisão de ventre alternada com diarréia de obstrução parcial também pode ser visto. Symptoms may also be related to the gynecologic orders in women as this disorder frequently affects women. Sintomas também podem estar relacionados com as ordens ginecológicas em mulheres como este distúrbio freqüentemente afeta as mulheres. Changes in the menstrual cycle, infertility, and pain with sexual intercourse can be encountered. Mudanças no ciclo menstrual, infertilidade, dor e com a relação sexual pode ser encontrado. Other symptoms, not directly related to the adhesions, can also be encountered. Outros sintomas, não diretamente relacionado com as adesões, também podem ser encontradas. Since ARD generally results in chronic problems, anxiety and depression can result. Desde ARD geralmente resulta em problemas crônicos, a ansiedade ea depressão podem resultar. Strained relationships can occur especially when the disorder affects sexual function. Relações tensas pode ocorrer especialmente quando o transtorno afeta a função sexual. Difficulty with conception can result. Dificuldade com a concepção pode ocorrer. This further adds to the anxiety and problems with self esteem experienced by women who suffer with this disorder. Este acrescenta à ansiedade e problemas com a auto-estima vivenciada por mulheres que sofrem com esse transtorno. Difficulty eating can result in poor nutrition, weakening suffers overall medical condition and can also lead to a decrease in immune function leading to many other illnesses. Dificuldade em comer pode resultar em má nutrição, enfraquecendo sofre condição médica geral e também pode levar a uma diminuição da função imune, levando a muitas outras doenças. Since many of the symptoms related to ARD are vague and wide spread and often include emotional factors, they are often difficult to diagnose. Uma vez que muitos dos sintomas relacionados à ARD estão espalhados vaga e ampla e muitas vezes incluem fatores emocionais, são muitas vezes difíceis de diagnosticar. Symptoms of ARD will often be attributed to other abnormalities. Sintomas da ARD, muitas vezes, ser atribuída a outras anormalidades. Patient will often carry multiple diagnoses including chronic fatigue syndrome, endometriosis, irritable bowel syndrome, fibromyalgia, depression, anxiety, along with a whole host of other possible syndromes. Paciente, muitas vezes, realizar diagnósticos múltiplos, incluindo a síndrome da fadiga crônica, endometriose, síndrome do intestino irritável, fibromialgia, depressão, ansiedade, juntamente com toda uma série de outras síndromes possível. While multiple disorders can certainly exist in one patient, the confusion over which abnormality is truly causing the symptoms adds to the frustration of ARD. Enquanto transtornos múltiplos pode certamente existem em um paciente, a confusão sobre o que é verdadeiramente anormalidade causando os sintomas aumenta a frustração de ARD. This, unfortunately, adds to the discomfort experienced by those who suffer with adhesions. Isto, infelizmente, contribui para o desconforto experimentado por aqueles que sofrem com aderências. Undiagnosed chronic pain causes so much physical and emotional pain for victims of adhesion related disorder – and fills their lives with so much indecision. Dor crônica não diagnosticada causa tanta dor física e emocional para as vítimas do distúrbio de adesão relacionados - e preenche suas vidas com tanta indecisão. In time the effects of ARD will begin to affect the lives of their families, their relationships and their jobs. Com o tempo os efeitos da ARD vai começar a afetar as vidas de suas famílias, suas relações e seus empregos. This inordinate control by ARD has the power to erode and change our lives – and not necessarily for the better! Esse controle exagerado pela ARD tem o poder de corroer e mudar as nossas vidas - e não necessariamente para melhor! It is so important to believe in yourself, trust the feelings you have about your pain, and tell it like it is. É tão importante acreditar em si mesmo, a confiança dos sentimentos que você tem sobre a sua dor, e dizer-lhe como ela é. You have the right to be listened to and treated with respect – nothing less!! Você tem o direito de ser ouvido e tratado com respeito - nada menos!
Posted by IHRT at 9/24/2011 08:35:00 AM Postado por IHRT em 2011/09/24 08:35:00 Labels: Adherencias , adhesiolysis , Adhesion Related Disorder , adhesioninfo , adhesions , ARD , capps , hope for adhesion pain , Pain , post-operative adhesion , scar tissue , surgical adhesions , synechiae Marcadores: Adherencias , aderências , Transtorno de Adesão relacionadas , adhesioninfo , aderências , ARD , Capps , esperança para a dor de adesão , Dor , pós-operatório de adesão , tecido cicatricial , aderências cirúrgicas , sinéquias
Adhesion related disorder is a complex of symptoms related to adhesions. Desordem adesão relacionados é um complexo de sintomas relacionados à aderências. Patient's primary complaint is usually chronic abdominal pain. Queixa primária do paciente é geralmente a dor abdominal crônica. Their symptoms can be primarily in one area of the abdomen but are often generalized, vague, crampy and difficult to define. Seus sintomas podem ser principalmente em uma região do abdome, mas são muitas vezes generalizada, vaga, cólica e difícil de definir. The symptoms of ARD could include: Os sintomas da ARD podem incluir:
Chronic pain Dor crônica
Infertility Infertilidade
Bowel obstruction Obstrução intestinal
Gastro-esophageal reflux disease, (GERD) Gastro-esofágico doença do refluxo (DRGE)
Urinary Bladder dysfunction Disfunção da bexiga urinária
Pain and difficulty having a bowel movement Dor e dificuldade de ter uma evacuação
Pain on movement such as: Walking, sitting or laying in certain positions. Dor em movimento, tais como: Andar a pé, sentado ou deitado em determinadas posições.
Loss of Nutrients due to poor eating habits or loss of appetite. Perda de nutrientes devido a maus hábitos alimentares ou perda de apetite.
Loss of employment due to lost work days Perda de emprego devido a dias de trabalho perdidos
Loss of family and social life Perda da vida familiar e social
Emotional Disorders such as: Depression, Thoughts of Suicide, Hopelessness Distúrbios emocionais, tais como: depressão, pensamentos de desesperança Suicide,
Other intestinal problems can accompany the pain. Outros problemas intestinais podem acompanhar a dor. Constipation or obstruction is sometimes encountered. Constipação ou obstrução às vezes é encontrado. Alternating constipation with diarrhea from partial obstruction can also be seen. Prisão de ventre alternada com diarréia de obstrução parcial também pode ser visto. Symptoms may also be related to the gynecologic orders in women as this disorder frequently affects women. Sintomas também podem estar relacionados com as ordens ginecológicas em mulheres como este distúrbio freqüentemente afeta as mulheres. Changes in the menstrual cycle, infertility, and pain with sexual intercourse can be encountered. Mudanças no ciclo menstrual, infertilidade, dor e com a relação sexual pode ser encontrado. Other symptoms, not directly related to the adhesions, can also be encountered. Outros sintomas, não diretamente relacionado com as adesões, também podem ser encontradas. Since ARD generally results in chronic problems, anxiety and depression can result. Desde ARD geralmente resulta em problemas crônicos, a ansiedade ea depressão podem resultar. Strained relationships can occur especially when the disorder affects sexual function. Relações tensas pode ocorrer especialmente quando o transtorno afeta a função sexual. Difficulty with conception can result. Dificuldade com a concepção pode ocorrer. This further adds to the anxiety and problems with self esteem experienced by women who suffer with this disorder. Este acrescenta à ansiedade e problemas com a auto-estima vivenciada por mulheres que sofrem com esse transtorno. Difficulty eating can result in poor nutrition, weakening suffers overall medical condition and can also lead to a decrease in immune function leading to many other illnesses. Dificuldade em comer pode resultar em má nutrição, enfraquecendo sofre condição médica geral e também pode levar a uma diminuição da função imune, levando a muitas outras doenças. Since many of the symptoms related to ARD are vague and wide spread and often include emotional factors, they are often difficult to diagnose. Uma vez que muitos dos sintomas relacionados à ARD estão espalhados vaga e ampla e muitas vezes incluem fatores emocionais, são muitas vezes difíceis de diagnosticar. Symptoms of ARD will often be attributed to other abnormalities. Sintomas da ARD, muitas vezes, ser atribuída a outras anormalidades. Patient will often carry multiple diagnoses including chronic fatigue syndrome, endometriosis, irritable bowel syndrome, fibromyalgia, depression, anxiety, along with a whole host of other possible syndromes. Paciente, muitas vezes, realizar diagnósticos múltiplos, incluindo a síndrome da fadiga crônica, endometriose, síndrome do intestino irritável, fibromialgia, depressão, ansiedade, juntamente com toda uma série de outras síndromes possível. While multiple disorders can certainly exist in one patient, the confusion over which abnormality is truly causing the symptoms adds to the frustration of ARD. Enquanto transtornos múltiplos pode certamente existem em um paciente, a confusão sobre o que é verdadeiramente anormalidade causando os sintomas aumenta a frustração de ARD. This, unfortunately, adds to the discomfort experienced by those who suffer with adhesions. Isto, infelizmente, contribui para o desconforto experimentado por aqueles que sofrem com aderências. Undiagnosed chronic pain causes so much physical and emotional pain for victims of adhesion related disorder – and fills their lives with so much indecision. Dor crônica não diagnosticada causa tanta dor física e emocional para as vítimas do distúrbio de adesão relacionados - e preenche suas vidas com tanta indecisão. In time the effects of ARD will begin to affect the lives of their families, their relationships and their jobs. Com o tempo os efeitos da ARD vai começar a afetar as vidas de suas famílias, suas relações e seus empregos. This inordinate control by ARD has the power to erode and change our lives – and not necessarily for the better! Esse controle exagerado pela ARD tem o poder de corroer e mudar as nossas vidas - e não necessariamente para melhor! It is so important to believe in yourself, trust the feelings you have about your pain, and tell it like it is. É tão importante acreditar em si mesmo, a confiança dos sentimentos que você tem sobre a sua dor, e dizer-lhe como ela é. You have the right to be listened to and treated with respect – nothing less!! Você tem o direito de ser ouvido e tratado com respeito - nada menos!
Posted by IHRT at 9/24/2011 08:35:00 AM Postado por IHRT em 2011/09/24 08:35:00 Labels: Adherencias , adhesiolysis , Adhesion Related Disorder , adhesioninfo , adhesions , ARD , capps , hope for adhesion pain , Pain , post-operative adhesion , scar tissue , surgical adhesions , synechiae Marcadores: Adherencias , aderências , Transtorno de Adesão relacionadas , adhesioninfo , aderências , ARD , Capps , esperança para a dor de adesão , Dor , pós-operatório de adesão , tecido cicatricial , aderências cirúrgicas , sinéquias
Thursday, September 22, 2011
“September 23rd is ARD AWARENESS Day!”
“September 23rd is ARD AWARENESS Day!”
JOIN NOW
“CEA for ARD!”
"Crusade for Education and Awareness of Adhesion Related Disorder (ARD)"
Start NOW to spread the word! Get into the spirit of a just cause…
WE NEED YOUR HELP NOW!
I want to take a moment to ask everyone who visits any ARD web sites to take the time
to join our cooperative efforts to spread the word about Adhesion Related Disorder!
"Crusade for Education and Awareness of Adhesion Related Disorder (ARD)"
If your afflicted with ARD, or know someone who is, or just have it in your heart to help our cause, as with your voice joining ours, we will conquer this disorder and save others from living this life of hell!
WE NEED YOUR HELP NOW!
And here is how you can do that…
To spread the word on ARD, visit" http://www.adhesionrelateddisorder.com/" and PRINT OUT
the ALL NEW and in FULL COLOR
“ARD Brochure”
Click here; http://www.adhesionrelateddisorder.com/ARD-brochure-printpg1.html
Take your copy to printers, a Kinko’s, Office Max or any other place where you can have
copies made at a reasonable price! Some printer’s will print for free, as long as it is for a medical issue, just ask?
(Please feel free to copy ANY material found in adhesionrelateddisorder.com and use it
as you elect to!)
NO COPYRIGHT on material found with in this website as it is YOUR ARD web site!
USE IT, USE IT and USE IT!
“Circulation of ARD Brochures and Information”
Whether you are afflicted with ARD or not, take them to ALL of appointments, be it the hairdresser or surgeon, take them everywhere and hand them out! Ask permission to leave extra copies on offices and medical facilities, local pharmacies, such as in Wal-Mart, and other stores, BIG or SMALL!
Tack the up in the local Laundromats and restaurants that offer bulletin boards, hand it to the waitress, the store clerks at checkouts, driving through a fast food…hand it to the lady in the service window, leave one for the postal worker!! Libraries, Churches, Museums, Dentists are all great places to spread the word!
Call the local schools and business to see if you can drop some off for the faculties and employees! Go through your telephone book to jog your mind as to where you might drop some off…call ahead and ask!
Every place that you see people visiting, place a brochure or two or three or four, as anyone of those people might be the person who life you save because you took that time to share this information!
“Call Your Local Media”
Call your local newspaper and offer to share your walk with ARD, be it your own or a
loved one! Check with your local radio stations, many have “guest spots” in which
persons from the community are invited to share their stories or interests, etc!
Call your local media and tell them that you’re willing to share your story with them as
“September 23rd is ARD AWARENESS Day!”
“Contact Your Government Officials”
Mail the ARD Brochure and any other ARD material, including your personal ARD story or a loved one’s, story to your local, state and national government representatives!
Include the
“New York, Louisiana, Wisconsin, Massachusetts and Ohio ARD Resolutions”
Ask YOUR STATE ASSEMBLY Representative to create similar documents for
YOUR state!
Do it for yourself, your fellow ARD sufferers in your state and do it from within the
USA!
You can find these resolutions the protocol outlined in the:
International Adhesion Society:
IAS Campaigns & Projects(http://www.adhesions.org/ )
Adhesion Information Site(http://www.adhesionrelateddisorder.com/ )
Or simply ask for step by step instruction in the
ARDvark Forum(http://www.adhesionrelateeddisorder.blogspot.com/ )
or click links below for fast access
New York | Louisiana | Wisconsin | Massachusetts | Ohio |
New Jersey | Pennsylvania | Minnesota
Be sure to tell your government officials that…
“September 23rd is ARD AWARENESS Day!”
The “Governmental Recognition” protocol was written by:
Augusta Sisler “World Adhesion Foundation”(http://www.adhesionsfoundation.com/ )
Beverly J. Doucette “Adhesion Information Site” (http://www.adhesionrelateddisorder.com/ )
Please see
Dawn Rose“ARD Interactive Site”(http://www.adhesionrelateddisorder.blogspot.com/ )
http://www.bombobeach.com/communications/spirit%20of%20awareness%20information/Spirit%20of%20Awareness%20Campaign%202003.doc
And it ALL began with:
Dr. David Wiseman Ph.D., M.R.Pharm.S.
International Adhesion Society
http://www.adhesions.org/
JOIN NOW
“CEA for ARD!”
"Crusade for Education and Awareness of Adhesion Related Disorder (ARD)"
Start NOW to spread the word! Get into the spirit of a just cause…
WE NEED YOUR HELP NOW!
I want to take a moment to ask everyone who visits any ARD web sites to take the time
to join our cooperative efforts to spread the word about Adhesion Related Disorder!
"Crusade for Education and Awareness of Adhesion Related Disorder (ARD)"
If your afflicted with ARD, or know someone who is, or just have it in your heart to help our cause, as with your voice joining ours, we will conquer this disorder and save others from living this life of hell!
WE NEED YOUR HELP NOW!
And here is how you can do that…
To spread the word on ARD, visit" http://www.adhesionrelateddisorder.com/" and PRINT OUT
the ALL NEW and in FULL COLOR
“ARD Brochure”
Click here; http://www.adhesionrelateddisorder.com/ARD-brochure-printpg1.html
Take your copy to printers, a Kinko’s, Office Max or any other place where you can have
copies made at a reasonable price! Some printer’s will print for free, as long as it is for a medical issue, just ask?
(Please feel free to copy ANY material found in adhesionrelateddisorder.com and use it
as you elect to!)
NO COPYRIGHT on material found with in this website as it is YOUR ARD web site!
USE IT, USE IT and USE IT!
“Circulation of ARD Brochures and Information”
Whether you are afflicted with ARD or not, take them to ALL of appointments, be it the hairdresser or surgeon, take them everywhere and hand them out! Ask permission to leave extra copies on offices and medical facilities, local pharmacies, such as in Wal-Mart, and other stores, BIG or SMALL!
Tack the up in the local Laundromats and restaurants that offer bulletin boards, hand it to the waitress, the store clerks at checkouts, driving through a fast food…hand it to the lady in the service window, leave one for the postal worker!! Libraries, Churches, Museums, Dentists are all great places to spread the word!
Call the local schools and business to see if you can drop some off for the faculties and employees! Go through your telephone book to jog your mind as to where you might drop some off…call ahead and ask!
Every place that you see people visiting, place a brochure or two or three or four, as anyone of those people might be the person who life you save because you took that time to share this information!
“Call Your Local Media”
Call your local newspaper and offer to share your walk with ARD, be it your own or a
loved one! Check with your local radio stations, many have “guest spots” in which
persons from the community are invited to share their stories or interests, etc!
Call your local media and tell them that you’re willing to share your story with them as
“September 23rd is ARD AWARENESS Day!”
“Contact Your Government Officials”
Mail the ARD Brochure and any other ARD material, including your personal ARD story or a loved one’s, story to your local, state and national government representatives!
Include the
“New York, Louisiana, Wisconsin, Massachusetts and Ohio ARD Resolutions”
Ask YOUR STATE ASSEMBLY Representative to create similar documents for
YOUR state!
Do it for yourself, your fellow ARD sufferers in your state and do it from within the
USA!
You can find these resolutions the protocol outlined in the:
International Adhesion Society:
IAS Campaigns & Projects(http://www.adhesions.org/ )
Adhesion Information Site(http://www.adhesionrelateddisorder.com/ )
Or simply ask for step by step instruction in the
ARDvark Forum(http://www.adhesionrelateeddisorder.blogspot.com/ )
or click links below for fast access
New York | Louisiana | Wisconsin | Massachusetts | Ohio |
New Jersey | Pennsylvania | Minnesota
Be sure to tell your government officials that…
“September 23rd is ARD AWARENESS Day!”
The “Governmental Recognition” protocol was written by:
Augusta Sisler “World Adhesion Foundation”(http://www.adhesionsfoundation.com/ )
Beverly J. Doucette “Adhesion Information Site” (http://www.adhesionrelateddisorder.com/ )
Please see
Dawn Rose“ARD Interactive Site”(http://www.adhesionrelateddisorder.blogspot.com/ )
http://www.bombobeach.com/communications/spirit%20of%20awareness%20information/Spirit%20of%20Awareness%20Campaign%202003.doc
And it ALL began with:
Dr. David Wiseman Ph.D., M.R.Pharm.S.
International Adhesion Society
http://www.adhesions.org/
Monday, August 01, 2011
Australian sues over forgotten surgical sponge
Sun Jul 31, 10:29 pm ET
SYDNEY (AFP) – An Australian woman who lived for more than 15 years with a grapefruit-sized surgical sponge sewn inside her after abdominal surgery was to sue her doctor for negligence, a report said Monday.
Helen O'Hagan claims the sponge was left in her abdominal cavity by surgeon Samuel Sakker during a 1992 colectomy, according to the Sydney Morning Herald.
She suffered cramps, fevers and loss of bowel control but attributed it to the long-running health issues that landed her in hospital to begin with, and did not discover the sponge until an October 2007 x-ray.
O'Hagan won the right to sue Sakker for negligence or breach of contract over the incident, despite the now-retired doctor calling for the case to be dismissed because she had taken so long to start legal action.
Judge Leonard Levy accepted that O'Hagan was so preoccupied with her health woes, having been hospitalised 23 times since 1970, she did not initially seek answers about how the sponge had ended up inside her.
The delay was compounded by the fact that the surgeon who removed the sponge was posted interstate for the next three years and did not tell O'Hagan it could only have been left there by Sakker until last May.
The lawsuit begins this week.
SYDNEY (AFP) – An Australian woman who lived for more than 15 years with a grapefruit-sized surgical sponge sewn inside her after abdominal surgery was to sue her doctor for negligence, a report said Monday.
Helen O'Hagan claims the sponge was left in her abdominal cavity by surgeon Samuel Sakker during a 1992 colectomy, according to the Sydney Morning Herald.
She suffered cramps, fevers and loss of bowel control but attributed it to the long-running health issues that landed her in hospital to begin with, and did not discover the sponge until an October 2007 x-ray.
During that time the sponge "became encapsulated in dense fibrous adhesions within a sac of fluid", the Herald said. It was removed by a different surgeon on the same day that it was found.
O'Hagan won the right to sue Sakker for negligence or breach of contract over the incident, despite the now-retired doctor calling for the case to be dismissed because she had taken so long to start legal action.
Judge Leonard Levy accepted that O'Hagan was so preoccupied with her health woes, having been hospitalised 23 times since 1970, she did not initially seek answers about how the sponge had ended up inside her.
The delay was compounded by the fact that the surgeon who removed the sponge was posted interstate for the next three years and did not tell O'Hagan it could only have been left there by Sakker until last May.
The lawsuit begins this week.
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