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Abdominal adhesions: intestinal obstruction, pain, and infertility

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Abstract

Adhesions cause bowel obstruction, chronic abdominal pain, and infertility. In this review, the incidence, clinical signs, diagnostic procedures, and treatment of these sequels of abdominal surgery are discussed. Laparoscopic treatment of bowel obstruction, chronic pain, and infertility is feasible in selected patients and has been reported to cause fewer newly formed adhesions. Randomized controlled trials to compare open and laparoscopic surgery for adhesions should be executed with long-term follow-up to assess the success rates of adhesiolysis and compare the morbidity and mortality.

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Authors and Affiliations

  1. Departmentsof Gynecology, Erasmus Medical Center, Dr. Molewaterplein 40, 3015 CD Rotterdam, The Netherlands

    W. W. Vrijland, J. Jeekel, H. J. van Geldorp & H. J. Bonjer

  2. Department of General Surgery, Groene Hart Ziekenhuis, Bleulandweg 10, 2893 HH Gouda, The Netherlands

    W. W. Vrijland, J. Jeekel, H. J. van Geldorp, D. J. Swank & H. J. Bonjer

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  1. W. W. Vrijland
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  2. J. Jeekel
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  3. H. J. van Geldorp
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  4. D. J. Swank
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  5. H. J. Bonjer
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Correspondence to H. J. Bonjer.

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Vrijland, W., Jeekel, J., van Geldorp, H. et al. Abdominal adhesions: intestinal obstruction, pain, and infertility . Surg Endosc 17, 1017–1022 (2003). https://doi.org/10.1007/s00464-002-9208-9

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  • DOI: https://doi.org/10.1007/s00464-002-9208-9

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