Surgeons have a number of products at their disposal to reduce the risk of adhesions, including agents of the synthetic barrier. Is responsible for educating patients the benefits and risks of the use of these products before a procedure unfolds potentials.
Produced synthetic barrier can reduce the risk of adhesion by reproducing them the natural membranes covering your vital organs. When the delicate surfaces of your bodies make contact with them during surgery - especially abdominal and pelvic surgery - tissue may join the other.
Surgical trauma often leads to the formation of scar tissue, which can cause potentially bowel twist, draw, climbing or hang. A partial intestinal blockage can be solved under close medical supervision. Complete block is a medical emergency, often requiring immediate intervention. Adhesions after abdominal or pelvic surgery can also cause infertility in women. Severe abdominal pain, nausea, bowel sounds loud and bloating are common symptoms of adhesions.
In combination with the technique of the safe device, surgical barriers can reduce the risk of adhesion pain and scar formation. During the surgery, abdominal or pelvic, synthetic barrier of regenerated cellulose, polytetrafluoroethylene or fibrin can be applied to the abdominal or pelvic tissues separating the surfaces of the organ. While some commonly used products such as the Gore-Tex, must be fixed in place and abducted in a separate proceeding, Interceed and Seprafilm, both products of Johnson & Johnson, are absorbed in the body after surgery. Note * insurers often do not compensate for the use of products of the barrier, transfer of financial responsibility on the patient.
A study of 2008 published in the Cochrane Database of Systematic Reviews compared the results of the 16 clinical trials to evaluate the effectiveness of four products of barrier to prevent membership among women who undergo pelvic surgery. The authors evaluated the results of the use of Gore-Tex, Interceed, Seprafilm and fibrin. In the majority of trials, Gore-Tex was more effective than Interceed or no barrier to prevent adhesions after surgery. In addition to the clinical studies have shown that Interceed and Seprafilm can reduce the risk of pelvic and abdominal adhesions, if used correctly.
The SprayShield barrier adhesion, currently available only in Europe, system protects internal tissues through the application of hydrogel spray. The hydrogel barrier, which becomes blue on request so that surgeons can view areas covered, keeps surfaces organ separated during and after the surgery, while the tissues heal. After the necessary healing time, material is absorbed by the body and excreted by the kidneys in the urine. Although the barrier system SprayShield has good results in preclinical studies in the United States and is available for patients in Europe since 2008, product has not yet been approved by the Food and Drug Administration for use in the United States.
Risks of the use of surgical barriersLike the sutures, gauze, sponge or any other material used during surgery, agents of the barrier can cause inflammation and memberships if misused. If a barrier is wadded, folded or applied in layers, the material may induce memberships. Barriers should not be applied to areas which have been contaminated or infected tissues. Because every body reacts differently to foreign materials, the reactions to these synthetic membranes may occur. The removal of a non-absorbable barrier after surgery may present a risk of adhesion formation more far.
Who is responsible for the prevention of pain of membership?Synthetic barrier agents are not infallible measures to prevent adhesions, but when used correctly, these products can reduce the risk of often heartbreaking, potentially fatal condition called adhesion related disorder (ARD). Health professionals are responsible for the use of these products constantly, to educate patients on how are form memberships and to inform patients of the risk of adhesions before surgery.
On their product Web sites, Ethicon, the company Johnson & Johnson which manufactures the absorbable barrier Interceed and Seprafilm advised their patients to question their surgeon prior to surgery on the risk of adhesion formation and the signs and symptoms of adhesions after surgery. In reality, the number of patients are likely to visit these Web sites before the surgery? Is it realistic to expect patients to conduct research on agents of the barrier or other highly specialized surgical products?
In fact, the responsibility to raise the risk of adhesion - and consider the ARD as a reasonable explanation for pain postoperative adhesion - belongs to surgeons and other health professionals, to patients. It is their duty and the framework of their ethical commitment to promote awareness of the risk of adhesion and to listen carefully to the concerns of their patients before and after surgery.
Sources
The Cochrane Library: Intervention review: officials of barrier for the prevention of adhesion after Gynecologic Surgery. Ahmad gaity, et al. ; April 16, 2008. Journal of Reproductive Medicine": postoperative prevention of adhesion with an oxidized regenerated Cellulose membership in sterile women barrier. T. Sawada, et al. ; May, 2000.
Pelvic health solutions: Overview: Gynecare Interceed.
Reuters.com: Covidien introduces the system of barrier SprayShield? adhesion on the European market.
Karen Steward ©
Karen Steward is a writer and author. His daughter, Melissa, was diagnosed at the age of 13 years and suffered debilitating pain for 14 years before she and her mother finally learned that she was suffering from memberships. After a trip to Europe in 2003 for a third surgery, Melissa is now well. She is married and mother proud of two children. Karen has worked tirelessly to promote awareness of the ARD. She is the author of the book, doctors: bound by secrecy? Victims: Bound by pain! * Karen is not a health professional, and it does not provide medical advice. Its articles are written from years of study and research. It is his desire that no other girl suffer as her daughter suffered, and she spends much of his time and energy to inform the public about memberships. See: http://www.karensteward.com/.
0 comments:
Post a Comment