title: [Adhesiolysis during abdominal surgery: substantial risks].
abstract: Surgeons from the Dutch St. Radboud University Medical Centre recently presented the results of a prospective study on adhesiolysis in abdominal surgery. In this methodologically sound study, the authors provided substantial data on the consequences of adhesiolysis. Most patients who have undergone an abdominal operation in the past appear to have adhesions. During an adhesiolysis procedure, 10% of patients suffer intestinal damage, the operating time is prolonged and blood loss is more severe. Results of this prospective study revealed twice as many surgical complications; mortality was also much higher, the duration of hospitalisation was prolonged and the costs were higher. Adhesiolysis can have serious consequences for the patient, and this should be taken into account during shared decision-making on which patients should be eligible for re-laparotomy.
authors: LUMC, afd. Heelkunde, Leiden. j.f.hamming@lumc.nl
authors: Jaap F
authors: JF
authors: Hamming
authors: Bert A
authors: BA
authors: Bonsing
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D006801:Humans; D012086:Reoperation; D012307:Risk Factors; D000267:Tissue Adhesions / Q000150:complications* / Q000453:epidemiology*