RESUMO
Background: Adhesions are bands of scar tissue that form between organs. In the abdomen, they form after an abdominal surgery or after a bout of intra-abdominal infection [i.e., pelvic inflammatory disease, diverticulitis]. More than 95% of patients who undergo abdominal surgery develop adhesions; these are nearly inevitably part of the body's healing process. Though most adhesions are asymptomatic, some can cause bowel obstructions, infertility, and chronic pain
Objectives: Concerning whether patients with chronic pelvic pain benefit from laparoscopic adhesiolysis or whether any appearing advantage is a placebo effect
Materials and Methods: This review was conducted using a comprehensive search of MEDLINE, PubMed, EMBASE, Cochrane Database of Systematic Reviews, and Cochrane Central Register of Controlled Trials from January 1, 1990, through October 31, 2017
Results: The spectrum of treatments for a small-bowel obstruction ranges from conservative management with bowel rest to surgical intervention, sometimes involving bowel resection. The caveat with regard to surgical treatment is that while surgery may be required to release symptomatic adhesions, postoperative reformation of these adhesions is common. Debate continues as to whether laparoscopic adhesiolysis yields added benefit in terms of decreasing postoperative adhesion reformation; however, promising results have been obtained with Open approach
Conclusion: Laparotomy with open adhesiolysis has been the treatment of choice for acute complete bowel obstructions. Patients who have partial obstructions, with some enteric contents traversing the obstruction, might similarly require surgery if nonoperative measures fail
RESUMO
Background: psoriasis is a papulo-squamous disease with different morphology, severity, distribution and course of disease. The aim of the treatment was to reduce disease activity to a level that permits an acceptable quality of life with negligible toxicity from the treatment itself. About 25% of patients experience major psychological distress due to the disease. Its long duration along with comorbidities have a negative impact on quality of life
Aim of the work: we tried to understand the types, pathogenesis and management of psoriasis, and also try to understand its effect on the quality of life
Methodology: we conducted this review using a comprehensive search of MEDLINE, PubMed and EMBASE from January 1994 to March 2017. The following search terms were used: psoriasis, psoriasis classification, psoriasis management, quality of life in psoriasis patients
Aim of the work: we tried to understand the types, pathogenesis, and management of psoriasis, and also try to understand its effect on the quality of life
Conclusion: due to the chronic course, and its noticeable visibility on skin, many patients suffer from major social and psychological ill effects. In majority of the time the health care providers fail to recognize or treat such comorbidities. Healthcare providers must be educated to offer ways to tackle such issues in the management plan for better results