Post-Operative Adhesions: A Comprehensive Review of Mechanisms

Post-surgical adhesions are common in almost all surgical areas and are associated with significant rates of morbidity, mortality, and increased healthcare costs, especially when a patient requires repeat operative interventions. Many groups have studied the mechanisms driving post-surgical adhesion...

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Main Authors: Ali Fatehi Hassanabad, Anna N. Zarzycki, Kristina Jeon, Justin F. Deniset, Paul W. M. Fedak
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/9/8/867
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author Ali Fatehi Hassanabad
Anna N. Zarzycki
Kristina Jeon
Justin F. Deniset
Paul W. M. Fedak
author_facet Ali Fatehi Hassanabad
Anna N. Zarzycki
Kristina Jeon
Justin F. Deniset
Paul W. M. Fedak
author_sort Ali Fatehi Hassanabad
collection DOAJ
description Post-surgical adhesions are common in almost all surgical areas and are associated with significant rates of morbidity, mortality, and increased healthcare costs, especially when a patient requires repeat operative interventions. Many groups have studied the mechanisms driving post-surgical adhesion formation. Despite continued advancements, we are yet to identify a prevailing mechanism. It is highly likely that post-operative adhesions have a multifactorial etiology. This complex pathophysiology, coupled with our incomplete understanding of the underlying pathways, has resulted in therapeutic options that have failed to demonstrate safety and efficacy on a consistent basis. The translation of findings from basic and preclinical research into robust clinical trials has also remained elusive. Herein, we present and contextualize the latest findings surrounding mechanisms that have been implicated in post-surgical adhesion formation.
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spelling doaj.art-933d447429c441a5b2701b665281bd182023-11-22T06:51:15ZengMDPI AGBiomedicines2227-90592021-07-019886710.3390/biomedicines9080867Post-Operative Adhesions: A Comprehensive Review of MechanismsAli Fatehi Hassanabad0Anna N. Zarzycki1Kristina Jeon2Justin F. Deniset3Paul W. M. Fedak4Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 2N9, CanadaSection of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 2N9, CanadaDepartment of Anesthesiology and Pain Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2R7, CanadaSection of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 2N9, CanadaSection of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 2N9, CanadaPost-surgical adhesions are common in almost all surgical areas and are associated with significant rates of morbidity, mortality, and increased healthcare costs, especially when a patient requires repeat operative interventions. Many groups have studied the mechanisms driving post-surgical adhesion formation. Despite continued advancements, we are yet to identify a prevailing mechanism. It is highly likely that post-operative adhesions have a multifactorial etiology. This complex pathophysiology, coupled with our incomplete understanding of the underlying pathways, has resulted in therapeutic options that have failed to demonstrate safety and efficacy on a consistent basis. The translation of findings from basic and preclinical research into robust clinical trials has also remained elusive. Herein, we present and contextualize the latest findings surrounding mechanisms that have been implicated in post-surgical adhesion formation.https://www.mdpi.com/2227-9059/9/8/867post-surgical adhesionsunderlying mechanismstranslational research
spellingShingle Ali Fatehi Hassanabad
Anna N. Zarzycki
Kristina Jeon
Justin F. Deniset
Paul W. M. Fedak
Post-Operative Adhesions: A Comprehensive Review of Mechanisms
Biomedicines
post-surgical adhesions
underlying mechanisms
translational research
title Post-Operative Adhesions: A Comprehensive Review of Mechanisms
title_full Post-Operative Adhesions: A Comprehensive Review of Mechanisms
title_fullStr Post-Operative Adhesions: A Comprehensive Review of Mechanisms
title_full_unstemmed Post-Operative Adhesions: A Comprehensive Review of Mechanisms
title_short Post-Operative Adhesions: A Comprehensive Review of Mechanisms
title_sort post operative adhesions a comprehensive review of mechanisms
topic post-surgical adhesions
underlying mechanisms
translational research
url https://www.mdpi.com/2227-9059/9/8/867
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AT justinfdeniset postoperativeadhesionsacomprehensivereviewofmechanisms
AT paulwmfedak postoperativeadhesionsacomprehensivereviewofmechanisms