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Adhesion-related complications are common, but rarely discussed in preoperative consent: a multicenter study.

Abstract：

BACKGROUND:Peritoneal adhesions are recognized as an important cause for patient morbidity, but complications related to adhesions occur relatively late after the original operation. Therefore preoperative consent may not adequately reflect the proportions of the problem. METHODS:A total of 200 patients admitted for intraperitoneal operations at six hospitals were prospectively reviewed to identify whether adhesion-related complications were documented as possible adverse events in their respective consent forms. RESULTS:Adhesion-related complications were documented in 8.5% (n=17) of consent forms (bowel obstruction n=8, requirement for further operations n=5, difficult reoperation n=1, pain n=3). A direct relationship with adhesions was noted in n=9 of these consent forms. CONCLUSIONS:Preoperative informed consent does not adequately reflect the magnitude of adhesion-related problems. These findings have immediate implications for clinical practice.

journal_name

World J Surg

journal_title

World journal of surgery

authors

Rajab TK,Wallwiener M,Talukdar S,Kraemer B

doi

10.1007/s00268-008-9917-x

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

748-50

issue

4

eissn

0364-2313

issn

1432-2323

journal_volume

33

pub_type

杂志文章,多中心研究

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