Adhesions

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LatestFeatures

Rectus Muscle Closure at Cesarean Is Associated With Fewer Adhesions
Methods used during closing after a cesarean section affect intra-abdominal adhesions, according to a new study published in American Journal of Obstetrics & Gynecology. More »
Adhesion-Prevention Strategy in C-Sections: Focus on Risk Reduction
Cesarean deliveries are now the most commonly performed abdominal surgery in the United States. In 2005, an estimated 30.3 % of all births involved C-section procedures, and preliminary estimates from the Centers for Disease Control and Prevention indicate that the incidence of C-sections will continue to rise in the coming decade. More »
Different Views on Adhesion Management
Recently a letter was sent to the Women's Health Forum by a patient who had undergone numerous surgeries in an effort to alleviate her pain due to surgical adhesions. Additionally, I recently had a patient whose case demonstrates a rather typical story for post-surgical adhesions, and her management. These two patient cases I hope you will find informative and "food for thought". More »
Post Operative Adhesions and Prevention
More »
Pelvic Adhesions
More »
Intercellular Adhesion Molecule-1 Expression in Human Endometrium
Neutrophils infiltrate the endometrium pre-menstrually and after long-term progestin only-contraceptive (LTPOC) treatment. Trafficking of neutrophils involves endothelial cell-expressed intercellular adhesion molecule (ICAM-1). More »
Adhesions
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Pelvic Adhesions
Pelvic adhesions cause many problems for millions of women. From obstructed tubes associated with infertility, to pelvic tenderness, and painful intercourse, to chronic pelvic pain. Curiously, adhesions can be very extensive, yet relatively silent. They may remain silent indefinitely, or long after the causative event, become symptomatic. The causes of adhesions are multiple but basically the tissue irritation that produces the adhesive process arises from an inflammatory event, or from trauma... More »
A Patient's Guide to Adhesions and Related Pain
Chronic pelvic pain and/or associated intestinal disturbance are a major cause of misery for thousands of patients. Often in constant pain, the patient experiences loneliness, hopelessness, frustration and desperation with thoughts of suicide. Family and work relationships are strained to the limit. Although ADHESIONS are often (but not always) the cause of this pain, treatment for adhesions is not performed either because the surgeon does not believe that adhesions can cause the problem, or... More »
Q & A: Uterine Adhesions to post per. wall
I have a case that I've known for some time. She is a case of diagnosed endometriosis. I did her adhesiolisis in 1993 and then she got pregnant, then she had a big endometriotic cyst and I removed it and then she got pregnant again. In the last six years, she got 2 endometriotic cysts that were very big and causing agonizing pains and had to be surgically removed in 2 occasions. Last year she got pregnant spontaneously but missed abortion at 14 weeks and had to evacuate by extramniotic PG. More »
Showing 1 - 10 of 26 results.
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FromtheJournals

pubmed.gov - 11/1/10
To review the etiology and incidence of and associative factors in the formation of adhesions following gynaecological surgery. To review evidence for the use of available means of adhesion prevention following gynaecological surgery.|Women undergoing pelvic surgery are at risk of developing abdominal and/or pelvic adhesive disease postoperatively. Surgical technique and commercial adhesion prevention systems may decrease the risk of postoperative adhesion formation.|The outcomes measured are the incidence of postoperative adhesions, complications related to the formation of adhesions, and further intervention relative to adhesive disease.|Medline, EMBASE, and The Cochrane Library were searched for articles published in English from 1990 to March 2009, using appropriate controlled vocabulary and key words. Results were restricted to systematic reviews, randomized control trials/controlled clinical trials, cohort studies, and meta-analyses specifically addressing postoperative adhesions
pubmed.gov - 3/1/11
The optimal technique for performing caesarean section with respect to minimising postoperative adhesions has not been determined.|To evaluate adhesion formation for three common caesarean section techniques in women undergoing repeat caesarean section surgeries.|A database was constructed from Medline, EMBASE, Cochrane Library, National Science Digital Library, China Biological Medicine Database and through contact with experts in this field from January 1990 to May 2010.|Studies were included if they examined adhesion formation in repeat caesarean sections as a primary objective, delineated a clear study design, specified an adhesion scoring system, and had sufficient patient exclusion criteria.|We abstracted data regarding adhesion formation. The Mantel-Haenszel random-effects model was employed for all analyses using odds ratio or inverse variance, along with 95% CI.|Thirty-three qualified studies including 4423 women were analysed. There were 406 adhesions among 571 women and 238
pubmed.gov - 6/1/10
To review the etiology and incidence of and associative factors in the formation of adhesions following gynaecological surgery. To review evidence for the use of available means of adhesion prevention following gynaecological surgery.|Women undergoing pelvic surgery are at risk of developing abdominal and/or pelvic adhesive disease postoperatively. Surgical technique and commercial adhesion prevention systems may decrease the risk of postoperative adhesion formation.|The outcomes measured are the incidence of postoperative adhesions, complications related to the formation of adhesions, and further intervention relative to adhesive disease.|Medline, EMBASE, and The Cochrane Library were searched for articles published in English from 1990 to March 2009, using appropriate controlled vocabulary and key words. Results were restricted to systematic reviews, randomized control trials/controlled clinical trials, cohort studies, and meta-analyses specifically addressing postoperative adhesions
pubmed.gov - 5/1/07
To investigate the role of hyaluronic acid-based fluid agents in the prevention of adhesions after fertility-preserving gynecological surgery.|Meta-analysis.|The authors searched the Cochrane Menstrual Disorders and Subfertility Group Specialized Register of Controlled Trials, The Cochrane Central Register of Controlled Trials, MEDLINE, and EMBASE for randomized controlled trials of hyaluronic acid fluid agents compared with no treatment or placebo.|Women undergoing fertility-preserving gynecological surgery.|Hyaluronic acid fluid agents.|[1] Prevalence and change in adhesion severity at second-look laparoscopy and [2] live birth rate.|Four studies were included in the meta-analysis. The use of hyaluronic acid agents was associated with a decrease in the prevalence of adhesions at second-look laparoscopy (odds ratio, 0.31; 95% confidence interval, 0.19 to 0.51) and a lesser chance of deterioration of preexisting adhesions (odds ratio, 0.28; 95% confidence interval, 0.12 to 0.66).
pubmed.gov - 1/1/08
Pelvic adhesion can form as a result of inflammation, endometriosis or surgical trauma. During pelvic surgery, strategies to reduce pelvic adhesion formation may include placing synthetic barrier agents such as oxidised regenerated cellulose, polytetrafluoroethylene or Fibrin sheets between the pelvic structures.|To assess the effect of physical barriers used during pelvic surgery in women of reproductive age on pregnancy rates, pelvic pain, or postoperative adhesion reformation.|We searched the Cochrane Menstrual Disorders and Subfertility Group Trials Register (searched September 2007) which is based on regular searches of MEDLINE, EMBASE, CINAHL, PsycINFO and CENTRAL, plus handsearching of 20 relevant journals and conference proceedings, and searches of several key grey literature sources. In addition, companies were contacted for unpublished trials.|Any randomised controlled trials (RCTs) comparing the use of physical barriers versus no treatment or other physical barriers in the

ClinicalTrials

www.clinicaltrials.gov - 8/22/11
commonly performed in Obstetrics and Gynecology Clinics. Complications related ... incision after C/S (adhesions separation (dehiscence) ...
www.clinicaltrials.gov - 8/20/10
(i.e. large submucous fibroids uterine adhesions apparent uni or bilateral proximal ... Valaoras & Lewis Obstetrics and Gynecology Winston-Salem North Carolina United ...
www.clinicaltrials.gov - 8/4/10
thereby excluding anatomical abnormalities intrauterine adhesions and cervical incompetence; ... Depts. Gynecology and Obstetrics and 3rd Dept of Internal Medicine ... János Rigó Prof. Gynecology and Obstetrics Dept Semmelweis University Budapest Hungary ...
www.clinicaltrials.gov - 7/21/10
uterine stent to prevent intrauterine adhesion (IUA) ... In order to prevent adhesion reformation after surgery most gynecologists ... Department of Obstetrics and Gynecology Shin-Kong Wu-Ho-Su Memerial Hospital ...
www.clinicaltrials.gov - 1/13/10
A laparoscopy that demonstrated pelvic adhesions or stage I or II ... Chair Department of Obstetrics and Gynecology Dartmouth-Hitchcock Medical Center Dartmouth ...

PracticeGuidelines

www.sogc.org -
SOGC CLINICAL PRACTICE GUIDELINE Adhesion Prevention in Gynaecological Surgery Abstracts Objectives: To review the etiology and incidence of and associative factors in the formation of adhesions following gynaecological surgery. ... To review evidence
www.sogc.org -
Outcomes: Implementation of this guideline should optimize the decision-making process of women and their health-care providers in proceeding with further investigation or therapy for uterine leiomyomas, having considered the ... For the symptomatic
www.sogc.org -
SOGC Clinical Practice Guideline Ovulation Induction in Polycystic Ovary Syndrome Abstract Objective: To review current non-pharmacologic and pharmacologic options for ovulation induction in women with polycystic ovary syndrome ( PCOS). ... Weight loss,

PatientResources

ww5.komen.org -
ligands and measure PAI-1, uPA, and uPAR levels; and perform adhesion, proliferation, and migration assays; 2) To treat tumorigenic and non-tumorigenic breast cancer cell lines with natural PPAR? ... ligands and measure PAI-1, uPA, and uPAR levels; and
www.nlm.nih.gov -
Preventing urinary tract infections ( UTIs). Research shows that drinking cranberry juice cocktail can help prevent repeated UTIs in older women and pregnant women.
www.nlm.nih.gov -
Un servicio de laBusque en MedlinePlus. Arndano ( agrio, rojo). Para usar las funciones de compartir de esta pginas, por favor, habilite JavaScript. Qu es? El arndano rojo es un arbusto pequeo que crece en toda Norteamrica. El
www.niaid.nih.gov -
04-4697 February 2004 www.niaid.nih.gov Womens Health i n t h e U. ... DEPARTMENT OF HEALTH AND HUMAN SERVICES. Womens Health i n t h e U.
www.ahrq.gov -
asymptomatic women, women with suspected ovarian cancer, and women with diagnosed ovarian cancer; ( d) the harms of genomic testing; and ( e) the impact of direct-to-consumer and direct-to-physician ... We found no evidence relevant to the question of

MedicalProfessionalForum

forums.obgyn.net - 10/3/11
title: OB-GYN-L Messages: Re: Million Med March State by State Information and request for ...
Dr Eberhard Lisse: "Re: Million Med March State by State Information and request for" Previous message: ...
forums.obgyn.net - 10/3/11
title: OB-GYN-L Messages: Toxoplasmosis confirmation ...
YankowitzJ@obgyn-po.obgyn.uiowa.edu: "Re: Toxoplasmosis confirmation" Maybe reply: ...
forums.obgyn.net - 10/3/11
OB-GYN-L Messages by date Messages sorted by: [ thread ][ subject ][ author ] Return to archive index ...
forums.obgyn.net - 10/3/11
title: OB-GYN-L Messages: Re: factor V ...
32nd annual international meeting of the Czech Ultrasound Society in Obstetrics and Gynecology by Czech Society for Ultrasound in Obstetrics and Gynecology ...
forums.obgyn.net - 10/3/11
title: OB-GYN-L Messages: Re: GYN: Business question modifier 22. ...
32nd annual international meeting of the Czech Ultrasound Society in Obstetrics and Gynecology by Czech Society for Ultrasound in Obstetrics and Gynecology ...

FromPhysiciansPractice

Physician Performance Goals Are Great, But Balance Is More Realistic
Jennifer Frank, MD,  May 15, 2012
Performance measurements for physicians are well-intentioned and get me to rethink how I practice. But in the end I won't make the goals, so I'll have to go with balance over perfection.
Designing the Perfect Business Card for Your Medical Practice
C. Noel Henley, MD,  May 11, 2012
Does your business card say anything substantive about the valuable work you do in your practice? Here’s how to re-design your next business card for maximum impact and engagement.
Registered Nurses an Ideal Fit for Primary Care Practices
Audrey "Christie" McLaughlin, RN,  May 10, 2012
Here are four good reasons to hire a registered nurse for your primary care practice …maybe even instead of a medical assistant.
The Five Biggest Medical Practice Marketing Mistakes
James Doulgeris,  May 10, 2012
There are best practices to marketing your practice, but often, success is more about knowing what not to do. Here are the five most common pitfalls …and how to avoid them.
Can You Practice Medicine and Manage Your Practice?
Rosemarie Nelson,  May 9, 2012
Whether you practice alone, or in a group, if you're trying to see patients in this pay-for-volume environment and also run the business of your practice, you may be missing out on important opportunities.