Indian J Surg. 2013 Jun;75(Suppl 1):391-3. doi: 10.1007/s12262-012-0582-9. Epub 2012 Sep 1.

Abdominal cocoon: an unusual cause of subacute intestinal obstruction.

Shah MY1, Gedam BS2, Sonarkar R3, Gopinath KS4.

Author information

Abstract

We report an unusual cause of subacute intestinal obstruction in a young adolescent girl, which is a nontubercular abdominal cocoon. Barium meal follow-through revealed "cauliflower"-like appearance of small bowel. The patient underwent an exploratory laparotomy showing thick fibrous-like coverings which were encasing the small bowel loops to form an abdominal cocoon. Fibrocollagenous membrane was excised after adhesiolysis. Histopathological examination of membrane revealed fibrocollagenous membrane with hyaline deposition of nontubercular origin.

KEYWORDS:

Abdominal cocoon, Sclerosing encapsulating peritonitis, Subacute intestinal obstruction

http://www.ncbi.nlm.nih.gov/pubmed/24426626

PMID:

 

24426626

 

[PubMed] 

PMCID:

 

PMC3693371

 [Available on 2014/6/1]

Adhesion Related Disorder International Human Rights Team IHRT: Kruschiski toots his own horn with grandiose lies and self proclomations

Adhesion Related Disorder International Human Rights Team IHRT: Kruschiski toots his own horn with grandiose lies and self proclomations

Abdominal Wall Lift ~ Beware the Abdolift

IHRT blast from the past.....

Beware of the Abdo-lift....

Abdominal wall lift decreases cardiopulmonary changes, does not influence the morbidity and, increases operating time in laparoscopic cholecystectomy. It cannot be recommended routinely
.Gurusamy KS, Samraj K, Davidson BR.Published Online: July 16, 2008.Several physiological parameters related to heart and lung (cardiopulmonary changes) occur during insufflation of abdomen (tummy) with key-hole surgery. While these changes can be tolerated by normal individuals, patients with poor heart or lung function may not tolerate the changes. These changes in physiological parameters related to heart and lung are decreased by using special instruments to lift the front wall of the abdomen so that key-hole surgery can be performed without gas insufflation. In this systematic review of 20 trials including 706 patients (six trials including 156 patients used gas at very low pressures), it is shown that the technique of lifting the front wall of the tummy is associated with increased operating time (8 minutes) without reducing surgical complications. It cannot be recommended as a routine in patients with mild or no systemic disease. So, it cannot be recommended routinely in patients with low anaesthetic risk.
http://summaries.cochrane.org/CD006574/abdominal-wall-lift-decreases-cardiopulmonary-changes-does-not-influence-the-morbidity-and-increases-operating-time-in-laparoscopic-cholecystectomy.-it-cannot-be-recommended-routinely

Where are Kruschinski's studies? Oh right there aren't any real ones, just vividly imagined ones.

Kruschinski pulling the wool over your eyes again.....beware

German Adhesion Doctor builds bizarre website


Big red flag

Adhesion Related Disorder International Human Rights Team IHRT: adhesiologicum.com DANGER New Name Same Scam Kruschinski and Steward Urber Cons ARD

Adhesion Related Disorder International Human Rights Team IHRT: adhesiologicum.com DANGER New Name Same Scam Kruschinski and Steward Urber Cons ARD

Adhesion Related Disorder International Human Rights Team IHRT: Kruschinski Steward Adhesion Whoppers

Adhesion Related Disorder International Human Rights Team IHRT: Kruschinski Steward Adhesion Whoppers

ADHESIONS AND ADHESIOLYSIS

Really well written paper that is full of hope, current statistics and exciting new areas of research regarding the prevention of adhesions. Happy New Year! 

Stephen M. Kavic, MD, Suzanne M. Kavic, MD, Michael S. Kavic, MD

INTRODUCTION

Scar tissue is an expected result of trauma, and this is no less true inside the abdominal cavity as on its surface. Abdominal and pelvic surgical procedures, which are a form of controlled trauma, commonly result in the development of adhesions. Although typically involving the peritoneal surface, adhesions may develop between any 2 surfaces during the healing process. Adhesions may develop between adjacent solid organs, the intestines, fallopian tubes, omentum, or the abdominal wall.

Perhaps due to the lack of effective prevention, adhesions have traditionally received little attention in the literature. However, adhesions are shockingly common after open general and gynecologic procedures. In the largest autopsy series of abdominal adhesions, which included 752 subjects, over 44% had adhesions (67% in patients with prior surgery, and 28% in patients without surgery).¹ After multiple laparotomies, the incidence of adhesions may even be as high as 93%.²

Read the rest http://laparoscopy.blogs.com/prevention_management_3/2010/10/adhesions-and-adhesiolysis.html