Post-Conference-Workshop – Breast cancer scars and adhesions with Susan Chapelle
Scars and Adhesions with practical, then an additional 1 day breast cancer course for those wanting to extend their knowledge to the specifics of breast treatment.
Did you ever question the best moment to start treating the abdomen after an operation? Suzanne Chapelle did an interesting study that shows that we have to start much earlier than we thought, shortly after the operation, to have the best results. Do you want to know more about this? Come to our conference FASCIA@SEA to learn more or come to the post-conference workshop with Suzanne.
More information at our website www.pro-osteo.com
J Bodyw Mov Ther. 2012 Jan;16(1):76-82. doi: 10.1016/j.jbmt.2011.02.004. Epub 2011 Apr 9.
Visceral mobilization can lyse and prevent peritoneal adhesions in a rat model.
University of New England College of Osteopathic Medicine, Department of Pharmacology, 11 Hills Beach Rd., Biddeford, ME 04046, United States. firstname.lastname@example.org
Peritoneal adhesions are almost ubiquitous following surgery. Peritoneal adhesions can lead to bowel obstruction, digestive problems, infertility, and pain, resulting in many hospital readmissions. Many approaches have been used to prevent or treat adhesions, but none offer reliable results. A method that consistently prevented or treated adhesions would benefit many patients. We hypothesized that an anatomically-based visceral mobilization, designed to promote normal mobility of the abdominal contents, could manually lyse and prevent surgically-induced adhesions.
MATERIAL AND METHODS:
Cecal and abdominal wall abrasion was used to induce adhesions in 3 groups of 10 rats (Control, Lysis, and Preventive). All rats were evaluated 7 days following surgery. On postoperative day 7, unsedated rats in the Lysis group were treated using visceral mobilization, consisting of digital palpation, efforts to manually lyse restrictions, and mobilization of their abdominal walls and viscera. This was followed by immediate post-mortem adhesion evaluation. The rats in the Preventive group were treated daily in a similar fashion, starting the day after surgery. Adhesions in the Control rats were evaluated 7 days after surgery without any visceral mobilization.
The therapist could palpate adhesions between the cecum and other viscera or the abdominal wall. Adhesion severity and number of adhesions were significantly lower in the Preventive group compared to other groups. In the Lysis and Preventive groups there were clear signs of disrupted adhesions.
These initial observations support visceral mobilization may have a role in the prevention and treatment of post-operative adhesions.