Parker et al identified risk factors for hospital readmission associated with adhesions in patients having a lower abdominal surgical procedure. A patient considered to be at risk for readmission may benefit from management associated with reduced adhesion formation. The authors are from multiple hospitals in England and Scotland.
Rate of adhesion-related readmission within 5 years: 5% (excluding appendectomies)
Risk factors:
(1) age < 60 years
(2) type of procedure (see below)
(3) peritonitis
(4) previous abdominal or pelvic surgery within 5 years of most recent surgical procedure
The highest risk of readmission was associated with panproctocolectomy, total colectomy and ileostomy. Colorectal cancer surgery had a low risk of readmission.
A past history of adhesions or adhesion-related complication was not studied as a risk factor.
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