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ARD Validation 
"Social Security" & "Medical Appoints" 
OUR voice DOES make a difference in getting ARD recognized!!!! 
THIS report is a MUST to take to your "Medical Appoints" 
and to add to your file for applying for "Social Security" 
as it validate that "ADHESIONS" 
are recognized at the natinal level as the 
eitiology (cause) of chronic adominal/pelvic pain! 

National Institute of Health

World J Surg.2006 Mar 13;
Laparoscopic Lysis of Adhesions.
Szomstein S, Menzo EL, Simpfendorfer C, Zundel N, Rosenthal RJ.
Bariatric Institute, Section of Minimally Invasive Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd., Weston, Florida, 33331, USA,

BACKGROUND: Intra-abdominal adhesions constitute between 49% and 74% of the causes of small bowel obstruction. Traditionally, laparotomy and open adhesiolysis have been the treatment for patients who have failed conservative measures or when clinical and physiologic derangements suggest toxemia and/or ischemia. With the increased popularity of laparoscopy, recent promising reports indicate the feasibility and potential superiority of the minimally invasive approach to the adhesion-encased abdomen. METHODS: The purpose of this study was to assess the outcome of laparoscopic adhesiolysis and to provide technical tips that help in the success of this technique. RESULTS: The most important predictive factor of adhesion formation is a history of previous abdominal surgery ranging from 67%-93% in the literature. Conversely, 31% of scars from previous surgery have been free of adhesions, whereas up to 10% of patients without any prior surgical scars will have spontaneous adhesions of the bowel or omentum. Most intestinal obstructions follow open lower abdominopelvic surgeries such as colectomy, appendectomy, and hysterectomy. The most common complications associated with adhesions are small bowel obstruction (SBO) and chronic pain syndrome. The treatment of uncomplicated SBO is generally conservative, especially with incomplete obstruction and the absence of systemic toxemia, ischemia, or strangulation. When conservative treatment fails, surgical options include conventional open or minimally invasive approaches; the latter have become increasing more popular for lysis of adhesions and the treatment of SBO. Generally, 63% of the length of a laparotomy incision is involved in adhesion formation to the abdominal wall. Furthermore, the incidence of ventral hernia after a laparotomy ranges between 11% and 20% versus the 0.02%-2.4% incidence of port site herniation. Additional benefits of the minimally invasive approaches include a decreased incidence of wound infection and postoperative pneumonia and a more rapid return of bowel function resulting in a shorter hospital stay. In long-term follow up, the success rate of laparoscopic lysis of adhesions remains between 46% and 87%. Operative times for laparoscopy range from 58 to 108 minutes; conversion rates range from 6.7% to 43%; and the incidence of intraoperative enterotomy ranges from 3% to 17.6%. The length of hospitalization is 4-6 days in most series. CONCLUSIONS: Laparoscopic lysis of adhesions seems to be safe in the hands of well-trained laparoscopic surgeons. This technique should be mastered by the advanced laparoscopic surgeon not only for its usefulness in the pathologies discussed here but also for adhesions commonly encountered during other laparoscopic procedures.
PMID: 16555020 [PubMed - as supplied by publisher]
Copyright Status
Government information available from this site is within the public domain. Public domain information on the National Library of Medicine (NLM) Web pages 
may be freely distributed and copied. However, it is requested that in any subsequent use of this work, NLM be given appropriate acknowledgment.

Is “Adhesion Related Disorder” A Chronic Disease?
    Q. > Is “Adhesion Related Disorder” A Chronic Disease? 
    A. > Yes it is!

    (Based on the “Centers for Disease Control and Prevention” & The National Digestive Diseases Information Clearinghouse (NDDIC) "Adhesion Related Disorder” IS considered a 


    The following information is important to take with you when you see your “Medical Appointments” or to appointments associated with applying for “Social Security Benefits” as this information correlates directly with the “debilitating and often untreatable” symptoms experienced by those afflicted with “Adhesion Related Disorder.” 

    Chronic Disease Overview 

    The profile of diseases contributing most heavily to death, illness, and disability among Americans changed dramatically during the last century. Today, chronic diseases—such as cardiovascular disease (primarily heart disease and stroke), cancer, and diabetes—are among the most prevalent, costly, and preventable of all health problems. Seven of every 10 Americans who die each year, or more than 1.7 million people, die of a chronic disease. The prolonged course of illness and disability from such chronic diseases as diabetes and arthritis results in extended pain and suffering and decreased quality of life for millions of Americans. Chronic, disabling conditions cause major limitations in activity for more than one of every 10 Americans, or 25 million people

    Costs of Chronic Disease

    The United States cannot effectively address escalating health care costs without addressing the problem of chronic diseases: 

    More than 90 million Americans live with chronic illnesses. 

    Chronic diseases account for 70% of all deaths in the United States. 

    The medical care costs of people with chronic diseases account for more than 75% of the nation’s $1.4 trillion medical care costs. 

    Chronic diseases account for one-third of the years of potential life lost before age 65. 

    Hospitalizations for pregnancy-related complications occurring before delivery account for more than $1 billion annually. 

    The direct and indirect costs of diabetes are nearly $132 billion a year. 

    Each year, arthritis results in estimated medical care costs of more than $22 billion, and estimated total costs (medical care and lost productivity) of almost $82 billion. 

    The estimated direct and indirect costs associated with smoking exceed $75 billion annually. 

    In 2001, approximately $300 billion was spent on all cardiovascular diseases. Over $129 in lost productivity was due to cardiovascular disease. 

    The direct medical costs associated with physical inactivity was nearly $76.6 billion in 2000. 

    Nearly $68 billion is spent on dental services each year.

    Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA 30333, U.S.A 
    Tel: (404) 639-3311 / Public Inquiries: (404) 639-3534 / (800) 311-3435

    The National Digestive Diseases Information Clearinghouse (NDDIC) "Adhesion Related Disorder"

    National Institutes of Health | Department of Health & Human Services

    Intestinal Adhesions


    Some adhesions will cause no symptoms and go away by themselves. For people whose intestines are only partially blocked, a diet low in fiber, called a low-residue diet, allows food to move more easily through the affected area. In some cases, surgery may be necessary to remove the adhesions, reposition the intestine, and relieve symptoms. But the risk of developing more adhesions increases with each additional surgery.


    Methods to prevent adhesions include using biodegradable membranes or gels to separate organs at the end of surgery or performing laparoscopic (keyhole) surgery, which reduces the size of the incision and the handling of the organs. More......


    Definitions of:

  • an impairment of health or a condition of abnormal functioning 
  • A disease is any abnormal condition of the body or mind that causes discomfort, dysfunction, or distress to the person affected or those in contact with the person. Sometimes the term is used broadly to include injuries, disabilities, syndromes, symptoms, deviant behaviors, and atypical variations of structure and function, while in other contexts these may be considered distinguishable categories.
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