Anterior abdominal wall adhesions after laparotomy or laparoscopy

Levrant, Seth; Bieber, Eric J.; Barnes, Randall B.

doi:10.1016/s1074-3804(05)80227-0

Cited by 151 publications

(88 citation statements)

References 8 publications

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“…The access-related visceral injury incidence rate has been reported as 0.3-0.03% (4)(5)(6). A history of abdominal surgery increases the risk of adhesions between the abdominal wall and viscera (7). The potential for bowel injury during trocar placement or difficulty in visualisation of the structures has dissuaded some surgeons from performing a laparoscopic procedure in patients with a history of abdominal surgery.…”

Section: Discussionmentioning

confidence: 99%

Does previous abdominal surgery effect the feasibility of total laparoscopic hysterectomy?

Çelik¹,

Abalı²,

Taşdemir³

et al. 2013

J Turkish German Gynecol Assoc

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Section: Discussionmentioning

confidence: 99%

Does previous abdominal surgery effect the feasibility of total laparoscopic hysterectomy?

Çelik¹,

Abalı²,

Taşdemir³

et al. 2013

J Turkish German Gynecol Assoc

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“…Prior laparotomy through a midline vertical incision has significantly increased the frequency of anterior abdominal wall adhesions. These adhesions may later cause injury to bowel or omentum during laparoscopic cannula insertion through the umbilicus [23]. Adhesions more likely to become obstructive are those involving the small intestine; however, intestinal adhesions occur less frequently than those involving the omentum.…”

Section: Clinical Significance – Importance and Complications From Inmentioning

confidence: 99%

Peritoneal Adhesions: Etiology, Pathophysiology, and Clinical Significance

et al. 2001

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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 strategies to minimize peritoneal adhesion formation. 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. We also reviewed reference lists in all the articles retrieved in the search as well as those of major texts regarding intraperitoneal postsurgical adhesion formation. All sources identified were reviewed with particular attention to risk factors, pathophysiology, clinical manifestations, various methods, and innovative techniques for effectively and safely reducing the formation of postsurgical adhesions. Results: The formation of postoperative peritoneal adhesions is an important complication following gynecological and general abdominal surgery, leading to clinical and significant economical consequences. Adhesion occur in more than 90% of the patients following major abdominal surgery and in 55–100% of the women undergoing pelvic surgery. Small-bowel obstruction, infertility, chronic abdominal and pelvic pain, and difficult reoperative surgery are the most common consequences of peritoneal adhesions. Despite elaborate efforts to develop effective strategies to reduce or prevent adhesions, their formation remains a frequent occurrence after abdominal surgery. Conclusions: Until additional information and findings from future clinical investigations exist, only a meticulous surgical technique can be advocated in order to reduce unnecessary morbidity and mortality rates from these untoward effects of surgery.

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“…Therefore, a large number of experimental and clinical studies have been performed in order to evaluate the possible advantages of laparoscopy, which are shown in table 1 [7, 28, 29, 30, 31, 32, 33, 34, 35]. Most of the clinical studies retrospectively determined the number, the anatomical localization and the tenacity of the adhesions, which had been developed after previous open or laparoscopic surgery.…”

Section: Less Adhesion Formation After Laparoscopy Compared To Laparomentioning

confidence: 99%

Comparison of Adhesion Formation in Open and Laparoscopic Surgery

Schäfer

Krähenbühl

Büchler³

1998

Dig Surg

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The development of postoperative adhesions remains an almost inevitable consequence of visceral and gynecological surgery, appearing in 50–95% of all patients. The pathogenetical sequence from peritoneal injury, with locally released cytokines and inflammatory reaction, to permanent fibrous adhesions has been elucidated in recent years. Early and late bowel obstruction, chronic abdominal pain, and infertility are the main clinical complications, and they also increase the socio-economic costs. Laparoscopic surgical procedures with their minimal access to the abdominal cavity are associated with fewer postoperative adhesions compared to open surgery, although adhesion formations cannot be entirely prevented.

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Anterior abdominal wall adhesions after laparotomy or laparoscopy

Cited by 151 publications

References 8 publications

Does previous abdominal surgery effect the feasibility of total laparoscopic hysterectomy?

Does previous abdominal surgery effect the feasibility of total laparoscopic hysterectomy?

Peritoneal Adhesions: Etiology, Pathophysiology, and Clinical Significance

Comparison of Adhesion Formation in Open and Laparoscopic Surgery

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