To assess the documentation of postoperative adhesions as a potential complication of laparotomy on consent forms.
Method
Retrospective study of hospital notes of 102 adult patients that underwent laparotomy over a two year period.
Results
Intraperitoneal adhesions were documented as a postoperative risk on 10 consent forms (9.8%) only.
Conclusion
The results imply that most patients were not informed of this common postoperative complication and this may have medicolegal and risk management implications.
BeckDE, FergusonMA, OpelkaFG, FleshmanJW, GervazP, WexnerSD2000Effect of previous surgery on abdominal opening timeDiseases of the Colon and Rectum43(12) 1749–1753
2.
BhardwajR, ParkerMC2007Impact of adhesions in colorectal surgeryColorectal Disease9 Suppl 245–53
3.
ColemanMG, McLainAD, MoranBJ2000Impact of previous surgery on time taken for incision and division of adhesions during laparotomyDiseases of the Colon and Rectum43(9) 1297–1299
4.
DeWildeR, TrewG2007Postoperative abdominal adhesions and their prevention in gynaecological surgery.Expert consensus position Gynecological Surgery4(3) 161–168
5.
diZerreggaGS2002Peritoneal repair and postsurgical adhesion formation In: MishellD, GoodwinT, BrennerP 2002 Management of Common Problems in Obstetrics and GynaecologyLondon, Wiley-Blackwell
Internal Adhesions Society2005Informed consent survey results Available from: www.adhesions.org/surveys.htm [Accessed January 2010]
8.
KontoravdisA, ChryssikopoulosA, HassiakosD, LiapisA, ZourlasPA1996The diagnostic value of laparoscopy in 2,365 patients with acute and chronic pelvic painInternational Journal of Gynaecology and Obstetrics52(3) 243–248
9.
KossiJA, SalminenPT, LaatoMK2004Surgical workload and cost of postoperative adhesion-related intestinal obstruction: importance of previous surgeryWorld Journal of Surgery28(7) 666–670
10.
LowerA, HawthornR, ClarkD2004Adhesion-related readmissions following gynaecological laparoscopy or laparotomy in Scotland: an epidemiological study of 24,046 patientsHuman Reproduction19(8) 1877–1885
11.
MenziesD, EllisH1990Intestinal obstruction from adhesions - how big is the problem?Annals of the Royal College of Surgeons of England72(1) 60
12.
MenziesD, ParkerM, HoareR, KnightA2001Small bowel obstruction due to postoperative adhesions: treatment patterns and associated costs in 110 hospital admissionsAnnals of the Royal College of Surgeons of England83(1) 40–46
13.
NashG, PullenA2002Are current surgical trainees preventing future adhesions complications?Adhesions News and Views12
14.
ParkerMC, EllisH, MoranBJ2001Postoperative adhesions: ten-year follow-up of 12,584 patients undergoing lower abdominal surgeryDiseases of the Colon and Rectum44(6) 822–829
15.
ParkerMC, WilsonMS, van GoorH2007Adhesions and colorectal surgery - call for actionColorectal Disease9 Suppl 266–72
16.
TrewG2004Consensus in adhesion reduction managementThe Obstetrician & Gynaecologist6 Suppl 1–6
17.
Van der KrabbenAA, DijkstraFR, NieuwenhuijzenM, ReijnenMM, SchaapveldM, van GoorH2000Morbidity and mortality of inadvertent enterotomy during adhesiotomyBritish Journal of Surgery87(4) 467–471
18.
WilsonMS2007Practicalities and costs of adhesionsColorectal Disease9 Suppl 260–65
19.
WilsonMS, MenziesD, KnightAD, CroweAM2002Demonstrating the clinical and cost effectiveness of adhesion reduction strategiesColorectal Disease4(5) 355–360