Talk:Adhesion (medicine)

WPMED assessment

I assessed the article as start class (see the infobox at the top of this talk page). The article lacks any discussion of subcutaneous and intramuscular adhesions; needs more internal links, inline and see-also section; needs references; and needs some illustration. --Una Smith (talk) 22:25, 23 November 2007 (UTC)

Why does the body of the article lack an edit function? The body should be proofread, as it contains mistakes.Vivianrn (talk) 15:45, 15 February 2008 (UTC)vivianrnVivianrn (talk) 15:45, 15 February 2008 (UTC)

Research additions

I am offering updates to the research in the last paragraph of the page, for which I have no connection. However, I am also providing research for a proposed new section of the page, “nonsurgical treatment for adhesions,” for which I do have a relationship to the research. I am aware of Wikipedia's policies and guidelines and will abide by them. I am volunteering information for this talk page only, and ask for Wikipedians’ help in determining if these edits are suitable for the page.

A study in “Digestive Surgery” showed that more than 90% of patients develop adhesions following open abdominal surgery and 55% to 100% of women develop adhesions following pelvic surgery. [1] Adhesions from prior abdominal or pelvic surgery can obscure visibility and access at subsequent abdominal or pelvic surgery. In a very large study (29,790 participants) published in the British medical journal “Lancet,” 35% of patients who underwent open abdominal or pelvic surgery were readmitted to the hospital an average of two times after their surgery due to adhesion-related or adhesion-suspected complications.[2] Over 22% of all readmissions occurred in the first year after the initial surgery.[2] Adhesion-related complexity at reoperation adds significant risk to subsequent surgical procedures. [3]

Prior to the availability of adhesion barriers [1], adhesions were documented to be an almost unavoidable consequence of abdominal and pelvic surgery, and occurred in as much as 93% of all patients undergoing abdominal surgery. [4]

Adhesions - Nonsurgical Treatment

A manual manipulative physical therapy (The Wurn Technique) applied to the body’s soft tissues, has been examined as a nonsurgical treatment to decrease adhesions causing pain, infertility, or dysfunction.

In a 2004 peer-reviewed study on the rate of natural pregnancy within one year for infertile women who received the Wurn Technique (average infertility five years), 71% [10/14] became pregnant. [5] In a second peer-reviewed study in 2004, the therapy improved pregnancy rates for women undergoing in vitro fertilization (IVF) procedures. Women who received the therapy within 15 months before an IVF transfer had a 67% pregnancy rate vs. the 41% US Center for Disease Control national average for IVF. [5] All study participants had histories indicating abdominopelvic adhesion formation. [5]

ACOG board certified gynecologist and study co-author, Richard King, MD, says that the therapy is appropriate for women with confirmed or suspected abdominopelvic adhesions. Prior surgery, infection, inflammation, or trauma in this area [abdomen or pelvis] are all reasons for suspicion of adhesions. [6]

References

1. Liakakos T, Thomakos N, Fine PM, Dervenis C, Young RL. Peritoneal Adhesions: Etiology, Pathophysiology, and Clinical Significance. Dig Surg. 2001; 18: 260-273. PMID 11528133.

2. Ellis H, Moran BJ, Thompson JN, Parker MC, Wilson MS, Menzies D, McGuire A, Lower AM, Hawthorn RJ, O’Brien F, Buchan S, Crowe AM. Adhesion-related hospital readmissions after abdominal and pelvic surgery: a retrospective cohort study. Lancet Br J Med. 1999; 353: 1476-80. PMID 10232313.

3. Van der Krabben AA, Dijkstra FR, Nieuwenhuijzen M, Reijnen MMPJ, Schaapveld M, Van Goor H. Morbidity and mortality of inadvertent enterotomy during adhesiotomy. Br J Surg. 2000;87;467-471. PMID 10759744.

4. Adhesion prevention: a standard of care. 1999 - 2003 Medical Association Communications. American Society of Reproductive Medicine [2]

5. Wurn BF, Wurn LJ, King CR, Heuer MA, Roscow AS, Scharf ES, Shuster JJ. Treating Female Infertility and Improving IVF Pregnancy Rates with a Manual Physical Therapy Technique. Med. Gen. Med. 2004 Jun 18; 6(2): 51. PMID 15266276

6. Burnette, A. Physical Therapy to Improve IVF Pregnancy Rates. Achieving Families. 2005, Sept: 30.

Research6840 (talk) 17:38, 24 October 2008 (UTC)

These edits are neutral and reliable sources. As no opposition or discussion has occurred since this talk was posted a month ago, I moved the edits to the page. Research6840 (talk) 22:12, 18 November 2008 (UTC)

Ugh. Can we get a better source on this? I'm having trouble imagining a published study that has a 45% margin of error with the upper bound being 100%. 69.232.197.245 (talk) 17:31, 8 February 2011 (UTC)

abdominal Adhesions

I have had several surgeries due to bowel abstruction due to abdominal adhesions that seem to start forming again right after the surgery is over. Right now I am having severe pain again and am very depressed. I do not know what to do and Doctor's and one in general in Atlanta,Georgia is unwilling to do any further surgery on me to "cut down" the adhesions as she states they will only come back and there is nothing she states that I can do to help them from causing the intense pain I an presently experiencing. What am I to do? I have heard of Abdotab as an out of the country Medicine for this. Has anyone ever heard of this or used this? Thank You.

Jean Goddard Alpharetta,Georgia 30022 —Preceding unsigned comment added by 98.66.186.127 (talk) 21:29, 9 February 2009 (UTC)

Endometriosis

I have added that endometriosis can cause adhesions - they are present at every stage of the disease, so most women with endometriosis also have adhesions, which can be widespread and severe. I think there should possibly be a whole section on endometriosis ("association with endometriosis", to go with the "association with surgery" section?) in this article, as endometriosis is such a significant cause of the problem. 94.174.108.74 (talk) 19:16, 30 December 2011 (UTC)

Is a virtual space the same as a potential space?

This article contains the text: "a virtual space such as the peritoneal cavity". If a virtual space the same as a potential space, then a wikilink to Potential space would be appropriate. (I am asking the same question at Talk:Potential space.) FrankSier (talk) 21:02, 6 September 2020 (UTC)