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I assessed the article as start class (see the infobox at the top of this talk page). The article lacks any discussion of subcutaneous and intramuscular adhesions; needs more internal links, inline and see-also section; needs references; and needs some illustration. --Una Smith (talk) 22:25, 23 November 2007 (UTC)
Why does the body of the article lack an edit function? The body should be proofread, as it contains mistakes.Vivianrn (talk) 15:45, 15 February 2008 (UTC)vivianrnVivianrn (talk) 15:45, 15 February 2008 (UTC)
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It is requested that an edit be made to this article that the user below does not want to make because of a conflict of interest. Please review the request below and make the edit if the edit is well cited, neutral, and follows other Wikipedia guidelines and policies. To the user using this template: please explain your conflict of interest in detail below. Please disable this template by changing it to an un-transcluded when the request is handled. |
I am offering updates to the research in the last paragraph of the page, for which I have no connection. However, I am also providing research for a proposed new section of the page, “nonsurgical treatment for adhesions,” for which I do have a relationship to the research. I am aware of Wikipedia's policies and guidelines and will abide by them. I am volunteering information for this talk page only, and ask for Wikipedians’ help in determining if these edits are suitable for the page.
Prior to the availability of adhesion barriers [1], adhesions were documented to be an almost unavoidable consequence of abdominal and pelvic surgery, and occurred in as much as 93% of all patients undergoing abdominal surgery. [4]
Adhesions - Nonsurgical Treatment
A manual manipulative physical therapy (The Wurn Technique) applied to the body’s soft tissues, has been examined as a nonsurgical treatment to decrease adhesions causing pain, infertility, or dysfunction.
In a 2004 peer-reviewed study on the rate of natural pregnancy within one year for infertile women who received the Wurn Technique (average infertility five years), 71% [10/14] became pregnant. [5] In a second peer-reviewed study in 2004, the therapy improved pregnancy rates for women undergoing in vitro fertilization (IVF) procedures. Women who received the therapy within 15 months before an IVF transfer had a 67% pregnancy rate vs. the 41% US Center for Disease Control national average for IVF. [5] All study participants had histories indicating abdominopelvic adhesion formation. [5]
ACOG board certified gynecologist and study co-author, Richard King, MD, says that the therapy is appropriate for women with confirmed or suspected abdominopelvic adhesions. Prior surgery, infection, inflammation, or trauma in this area [abdomen or pelvis] are all reasons for suspicion of adhesions. [6]
References
1. Liakakos T, Thomakos N, Fine PM, Dervenis C, Young RL. Peritoneal Adhesions: Etiology, Pathophysiology, and Clinical Significance. Dig Surg. 2001; 18: 260-273. PMID 11528133.
2. Ellis H, Moran BJ, Thompson JN, Parker MC, Wilson MS, Menzies D, McGuire A, Lower AM, Hawthorn RJ, O’Brien F, Buchan S, Crowe AM. Adhesion-related hospital readmissions after abdominal and pelvic surgery: a retrospective cohort study. Lancet Br J Med. 1999; 353: 1476-80. PMID 10232313.
3. Van der Krabben AA, Dijkstra FR, Nieuwenhuijzen M, Reijnen MMPJ, Schaapveld M, Van Goor H. Morbidity and mortality of inadvertent enterotomy during adhesiotomy. Br J Surg. 2000;87;467-471. PMID 10759744.
4. Adhesion prevention: a standard of care. 1999 - 2003 Medical Association Communications. American Society of Reproductive Medicine [2]
5. Wurn BF, Wurn LJ, King CR, Heuer MA, Roscow AS, Scharf ES, Shuster JJ. Treating Female Infertility and Improving IVF Pregnancy Rates with a Manual Physical Therapy Technique. Med. Gen. Med. 2004 Jun 18; 6(2): 51. PMID 15266276
6. Burnette, A. Physical Therapy to Improve IVF Pregnancy Rates. Achieving Families. 2005, Sept: 30.
Research6840 (talk) 17:38, 24 October 2008 (UTC)
These edits are neutral and reliable sources. As no opposition or discussion has occurred since this talk was posted a month ago, I moved the edits to the page. Research6840 (talk) 22:12, 18 November 2008 (UTC)
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- This page was last modified on 18 November 2008, at 22:12.
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