nach oben

Erschienen in:

01.05.2011 | General Gynecology

Patients’ awareness of postoperative adhesions: results from a multi-centre study and online survey

verfasst von: Bernhard Kraemer, Jennifer C. Birch, Judy V. Birch, Nina Petri, Umar Ahmad, Dilshad Marikar, Markus Wallwiener, Christian Wallwiener, Amanda Foran, Taufiek K. Rajab

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 5/2011

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To analyse and to compare how female patients are informed about adhesions and their related problems by surgeons preoperatively.

Methods

Over 8 weeks 105 patients (Germany) and 82 (UK) patients admitted for laparoscopic or open abdominopelvic surgery were interviewed preoperatively in a multi-centre study in Germany and the UK. 212 responses to an online survey were also analysed.

Results

Less than 50% of patients are made aware of adhesions. Even fewer patients were told about complications caused by adhesions. Lack of knowledge is cited by 46% of patients as a reason for health professionals not informing them about adhesions. 41% considered adhesions as not sufficiently important. Patients who had previously heard of adhesions were most commonly informed by physicians.

Conclusions

There is lack of information among patients and physicians about adhesions and their complications. Written information before surgery and computer-based applications may help raise patient’s awareness.

Menzies D, Ellis H (1990) Intestinal obstruction from adhesions—how big is the problem? Ann R Coll Surg Engl 72(1):60–63PubMed

Parker MC, Wilson MS, van Goor H, Moran BJ, Jeekel J, Duron JJ, Menzies D, Wexner SD, Ellis H (2007) Adhesions and colorectal surgery—call for action. Colorectal Dis 9(Suppl 2):66–72PubMedCrossRef

Stanciu D, Menzies D (2007) The magnitude of adhesion-related problems. Colorectal Dis 9(Suppl 2):35–38PubMedCrossRef

Rajab TK, Wallwiener M, Talukdar S, Kraemer B (2009) Adhesion-related complications are common, but rarely discussed in preoperative consent: a multicenter study. World J Surg 33(4):748–750PubMedCrossRef

Ellis H (1997) The clinical significance of adhesions: focus on intestinal obstruction. Eur J Surg Suppl (577):5–9

Stovall TG, Elder RF, Ling FW (1989) Predictors of pelvic adhesions. J Reprod Med 34(5):345–348PubMed

Tulandi T, Collins JA, Burrows E, Jarrell JF, McInnes RA, Wrixon W, Simpson CW (1990) Treatment-dependent and treatment-independent pregnancy among women with periadnexal adhesions. Am J Obstet Gynecol 162(2):354–357PubMed

Marana R, Rizzi M, Muzii L, Catalano GF, Caruana P, Mancuso S (1995) Correlation between the American Fertility Society classifications of adnexal adhesions and distal tubal occlusion, salpingoscopy, and reproductive outcome in tubal surgery. Fertil Steril 64(5):924–929PubMed

van Goor H (2007) Consequences and complications of peritoneal adhesions. Colorectal Dis 9(Suppl 2):25–34PubMedCrossRef

10.

Van Der Krabben AA, Dijkstra FR, Nieuwenhuijzen M, Reijnen MM, Schaapveld M, Van Goor H (2000) Morbidity and mortality of inadvertent enterotomy during adhesiotomy. Br J Surg 87(4):467–471CrossRef

11.

Parker MC, Wilson MS, Menzies D, Sunderland G, Clark DN, Knight AD, Crowe AM (2005) The SCAR-3 study: 5-year adhesion-related readmission risk following lower abdominal surgical procedures. Colorectal Dis 7(6):551–558PubMedCrossRef

12.

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 (1999) Adhesion-related hospital readmissions after abdominal and pelvic surgery: a retrospective cohort study. Lancet 353(9163):1476–1480PubMedCrossRef

13.

Ellis H (2004) Medicolegal consequences of adhesions. Hosp Med 65(6):348–350PubMed

14.

Wilson MS (2007) Practicalities and costs of adhesions. Colorectal Dis 9(Suppl 2):60–65PubMedCrossRef

15.

DeWilde RL, Trew G (2007) Postoperative abdominal adhesions and their prevention in gynaecological surgery. Expert consensus position. Part 2—steps to reduce adhesions. Gynecol Surg 4(4):243–253CrossRef

16.

Bhardwaj R, Parker MC (2007) Impact of adhesions in colorectal surgery. Colorectal Dis 9(Suppl 2):45–53PubMedCrossRef

17.

Cole A (2008) GMC asks doctors to take greater care over consent after law changes. BMJ 336(7654):1152–1153PubMedCrossRef

18.

Skene L, Smallwood R (2002) Informed consent: lessons from Australia. BMJ 324(7328):39–41PubMedCrossRef

19.

Mazur DJ (2003) Influence of the law on risk and informed consent. BMJ 327(7417):731–734PubMedCrossRef

20.

Wiseman DM (2008) Disorders of adhesions or adhesion-related disorder: monolithic entities or part of something bigger—CAPPS? Semin Reprod Med 26(4):356–368PubMedCrossRef

21.

Rajab TK, Wallwiener CW, Brochhausen C, Hierlemann H, Kraemer B, Wallwiener M (2009) Adhesion prophylaxis using a copolymer with rationally designed material properties. Surgery 145(2):196–201PubMedCrossRef

22.

Murray E, Burns J, See TS, Lai R, Nazareth I (2005) Interactive health communication applications for people with chronic disease. Cochrane Database Syst Rev (4):CD004274

Titel: Patients’ awareness of postoperative adhesions: results from a multi-centre study and online survey
verfasst von: Bernhard Kraemer
Jennifer C. Birch
Judy V. Birch
Nina Petri
Umar Ahmad
Dilshad Marikar
Markus Wallwiener
Christian Wallwiener
Amanda Foran
Taufiek K. Rajab
Publikationsdatum: 01.05.2011
Verlag: Springer-Verlag
Erschienen in: Archives of Gynecology and Obstetrics / Ausgabe 5/2011
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-010-1504-3

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen

Springer Medizin

Patients’ awareness of postoperative adhesions: results from a multi-centre study and online survey