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The SCAR-3 study:
5-year adhesion-related readmission risk following lower abdominal surgical procedures

Surgical and Clinical Adhesions Research (SCAR)

1986

The largest study ever conducted showing the long-term, population-based frequency and effects of post-operative adhesions.

Until now, studies on adhesions have been limited in size and scope, in part because complications resulting from adhesions often do not manifest for several years after surgery, and in part because investigators lack a non-invasive means of quantifying adhesion formation. The study published in the Lancet examined the frequency of complications from adhesions in more than 50,000 patients over a 10-year period.
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September is Adhesion Related Disorder Awareness Month. Find out about ARD
                  before you have any surgery.

                  (PRWEB) September 2, 2005 -- Adhesions are internal scars that bind organs and tissues
                  that are not normally connected. Adhesions form as a result of trauma due to surgery,
                  infection, disease or other injury. Adhesions can distort and disturb body functions and
                  cause pain, intestinal obstruction and infertility, giving rise to a complex of problems,
                  collectively termed "Adhesion Related Disorder (ARD)" - Dr. David Wiseman, founder
                  International Adhesion Society.....

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Press Release: September is Adhesion Related Disorder Awareness Month
September is Adhesion Related Disorder Awareness Month

Find out about ARD before you have any surgery!

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Lastly, following surgical treatment of adhesions causing intestinal obstruction, obstruction due to adhesionreformation occurred in 11 to 21% of cases (Menzies, 1993).

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Recent analysis of the latest US health statisticsby the International Adhesions Society (IAS)
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In 2001 there were over in-patient 67,000 discharges with a primary diagnosis of adhesion-related
obstruction, with an average length of hospitalization of 9.8 days. With an average charge of some $32,000, this represents a cost to the economy of $2.15 Billion.
About two-thirds of these costs were borne by Medicare and Medicaid.

But this is just the tip of the iceberg. When other inpatient diagnoses of peritoneal and pelvic adhesions are added, the cost easily exceeds $5 billion, and that is before out-patient costs and loss of work are considered.
Nearly 30% of the hospital discharges for adhesion-related obstruction occurred in the 45-64 age range, and 53% occurred in the 65+ age range. The most deaths (1196) occurred in the 45-64 age range, but as a percentage of the hospitalizations, the greatest risk of death (10%) occurred after age 85.

To our knowledge this is the first report to document the number of deaths related to adhesions, and serves to highlight the extent of an under-appreciated problem. Others have previously reported that a patient undergoing pelvic or abdominal surgery will be readmitted twice in the next 10 years for a problem related to adhesions, or for a procedure that could become complicated by adhesions.
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10% when procedures not known to involve adhesion surgery were considered.

The IAS strongly urges all patients to ask their doctors about ARD before undergoing surgery. The IAS also urges hospital and public health officials to ensure that adhesions are discussed as part of the informed consent procedures. By engaging in this discussion doctors will want to consider options for reducing the risks to the patient of post-operative adhesions. This will benefit not only patients, also the doctors who are faced with the sequelae of ARD.

For more information please contact:
Dr. David Wiseman, Founder, International Adhesions Society
6757 Arapaho Road, Suite 711-238, Dallas, TX 75248
972- 931- 5596
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World J Surg.2006 Mar 13;
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This section is now under construction:
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Constipation and Adhesions
NIH Adhesion Study November 2005
Adhesions What are they
Bowel Obstruction

Lots of medical stuff will go in here such as: Education and Awareness Medical/Surgical Information Regarding ARD issues Questions to ask your Dr. / SurgeonAdhesion Pictures
"Adhesion Barriers" which ones and why?
Abdominal Pain: When To Operate and When Not To
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Conflicting Opinions
Is a Turf War Compromising Women's Medical Care?

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