08/05/09

What is the impact of adhesions on patients and surgeons?



The Impact of Adhesions on Patients:

  • Adhesive Disease accounts for 49-74% of small bowel obstructions.
  • Adhesive Disease accounts for 15-20% of infertility cases.
  • Adhesive Disease accounts for 20-50% of chronic pelvic pain cases.
  • Reduced quality of life.
  • Loss of work days and productivity
  • Increased risk, complexity and complications during subsequent surgery.
  • One study showed a 19% rate of adhesion-related bowel perforation during subsequent/secondary operations.
  • Bowel perforations occur even more frequently (33%) during surgery for SBO.
  • Patients with adhesion-related perforations had significantly higher postoperative complications (leaks, wound infections, hemorrhages and length of stay).


The Impact of Adhesions on Surgeons:

  • Increased reoperative times
  • Increased risk of enterotomy
  • Increased level of surgical complexity