abdominal adhesions
| Discussion in 'All Categories' started by Charles Parkinson - Jan 13th, 2013 10:07 pm. | |
Charles Parkinson
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I am 22.I had a laparotomy nearly 3 years ago to remove a symptomatic meckel's diverticulum. I now suffer with adhesions. I had laparoscopic adhesiolysis done about 10 months ago, where many loops of intestine had to be cut away from the midline scar. I was then pumped full of adept. The adhesions have reformed albeit not as bad, but bad enough to continue to suspend my life. My surgeon is now reluctant to help me and generaly i weather alot of ignorance when i ask for more help from any doctor or consultant. Is there any surgical technique and adhesion barrier out there with a high chance of resolving my situation? Any advice would be much appreciated. |
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re: abdominal adhesions
by Dr J S Chowhan -
Jan 16th, 2013
10:26 am
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Dr J S Chowhan
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Dear Parkinson Adhesions are a common sequela of any precious surgery especially laparotomy, even though in laparoscopic surgery they are reduced by as much as three-fourths in comparison with laparotomy. The main factors as found in the literature for decreasing adhesions post-laparoscopy are: meticulous technique and microsurgical principles, hemostasis, and liberal irrigation with Ringer's lactate or other instillates. Many adhesive Barrier materials offer promise for adhesion prevention, and estrogen antagonists, fibrin glue, interceed etc but frankly speaking we need to do more investigation and warrant further investigation. We have been making progress with this adhesion problem, but far too slowly and surgeons have been just start to view the intricate role from the mesothelium noisy band formation of adhesions and the way mesothelial cells regulate the peritoneal fibrinolytic environment. More basic research into the mechanisms of adhesiogenesis is truly needed so we can identify new opportunities for therapeutic intervention. It has taken us greater than a century to acquire where were today in adhesion prevention: a 94% occurrence rate as well as a 30% recurrence rate. In your case I think you need to go for laparoscopic adhesiolysis again but by a good laparoscopic surgeon. With regards J S Chowhan |