Long-term outcomes and quality of life after laparoscopic adhesiolysis for chronic abdominal pain.

Study Objective: To evaluate clinical outcome in terms of pain and quality of life after laparoscopic adhesiolysis.

Design: Prospective observational study (Canadian Task Force II-3).

Setting: University-affiliated medical center.

Laparoscopic adhesiolysis for chronic abdominal pain: an objective assessment.

Background And Purpose: Postoperative adhesions frequently occur and can account for various symptoms, including chronic abdominal pain. Conventional adhesiolysis by laparotomy results in an unacceptably high rate of recurrence. A minimally invasive procedure (laparoscopic adhesiolysis) might improve the outcome by inflicting less surgical trauma, but well-documented reports focused on laparoscopic adhesiolysis for chronic abdominal pain are lacking.

Mobility of the first tarsometatarsal joint in relation to hallux valgus deformity: anatomical and biomechanical aspects.

Hypermobility of the first tarsometatarsal (TMT 1) joint is suggested to be an important factor in the cause and progression of hallux valgus deformity. Hypermobility of the TMT 1 joint is tested clinically in the sagittal plane, but an important deformation also exists in the transversal plane: metatarsus primus varus. This in vitro study was undertaken to investigate the relation between the mobility of the TMT 1 joint in these two planes and to investigate the correlation of the mobility with morphological variables.