Abdominal adhesions: intestinal obstruction,pain, and infertility |
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Authors: | W W?Vrijland J?Jeekel H J?van?Geldorp D J?Swank Email author" target="_blank">H J?BonjerEmail author |
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Institution: | (1) Departmentsof Gynecology, Erasmus Medical Center, Dr. Molewaterplein 40, 3015 CD Rotterdam, The Netherlands;(2) Department of General Surgery, Groene Hart Ziekenhuis, Bleulandweg 10, 2893 HH Gouda, The Netherlands |
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Abstract: | Adhesions cause bowel obstruction, chronic abdominal pain, and infertility. In this review, the incidence, clinical signs, diagnostic procedures, and treatment of these sequels of abdominal surgery are discussed. Laparoscopic treatment of bowel obstruction, chronic pain, and infertility is feasible in selected patients and has been reported to cause fewer newly formed adhesions. Randomized controlled trials to compare open and laparoscopic surgery for adhesions should be executed with long-term follow-up to assess the success rates of adhesiolysis and compare the morbidity and mortality. |
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Keywords: | Adhesions Adhesiolysis Bowel obstruction Chronic abdominal pain Infertility Laparoscopy |
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