Table 2. Overview of the outcomes of the Adhesion Awareness survey; 2010 vs 2016.
| Topic | 2010 (n = 501) | 2016 (n = 380) | P-value a |
|---|---|---|---|
| Adhesions are not of clinical interest | 0.41 | ||
| Disagree | 89.8% | 88.1% | |
| Neutral | 4.4% | 5.5% | |
| Agree | 5.8% | 6.3% | |
| Adhesions have more beneficial than detrimental effects | 0.005 | ||
| Disagree | 72.3% | 63.4% | |
| Neutral | 20.4% | 27.1% | |
| Agree | 7.2% | 9.5% | |
| Adhesiolysis for diffuse abdominal pain complaints is not effective | - | ||
| Disagree | - | 11.6% | |
| Neutral | - | 17.6% | |
| Agree | - | 70.8% | |
| Adhesiolysis for focal abdominal pain complaints is not effective | - | ||
| Disagree | - | 47.5% | |
| Neutral | - | 25.3% | |
| Agree | - | 27.2% | |
| Adhesioloysis should preferably be performed by specialized gastrointestinal surgeons | - | ||
| Disagree | - | 30% | |
| Neutral | - | 15.8% | |
| Agree | - | 54.2% | |
| Which proportion of small bowel obstruction is caused by postoperative adhesions? | 0.002 | ||
| Correct answer (%) | 32.1% | 42.4% | |
| Which percentage of patients will be readmitted within 5 years after laparotomy, due to morbidity directly related to adhesions? | 0.40 | ||
| Correct answer (%) | 42.8% | 40% | |
| Which percentage of patients will be readmitted within 10 years after laparotomy, due to morbidity probably related to adhesions? | 0.01 | ||
| Correct answer (%) | 6.9% | 11.8% | |
| What is the percentage of occurence of inadvertent bowel lesions caused by adhesiolysis? | <0.001* | ||
| Correct answer (%) | 23.9% | 42.4% | |
| Which procedure carries the highest risk for adhesion-related morbidity? | - | ||
| Correct answer (%) | - | 70.8% | |
| Which percentage of the women with a history of abdominal surgery has to be treated for infertility? | - | ||
| Correct answer (%) | - | 6.1% | |
| What is the influence of age >60years on adhesion formation? | 0.50 | ||
| Correct answer (%) | 31.8% | 33.9% | |
| What is the influence of a history of abdominal surgery on adhesion formation? | 0.97 | ||
| Correct answer (%) | 87.6% | 87.6% | |
| What is the influence of Crohn’s disease on adhesion formation? | 0.39 | ||
| Correct answer (%) | 16.1% | 13.9% | |
| How many patients do you inform about adhesion-related morbidity as a possible complication after laparotomy? | 0.003 | ||
| Virtually none | 41.1% | 32.5% | |
| <5% | 15.2% | 17.3% | |
| 5–10% | 11.2% | 10.1% | |
| 10–25% | 7.6% | 6.4% | |
| 25–50% | 6.4% | 6.7% | |
| 50–75% | 3.0% | 5.6% | |
| Virtually all | 15.4% | 21.3% | |
| How many patients do you inform about adhesion-related morbidity as a possible complication after laparoscopy? | 0.60 | ||
| Virtually none | 64.3% | 65.9% | |
| <5% | 11.6% | 10.4% | |
| 5–10% | 7.0% | 6.9% | |
| 10–25% | 3.0% | 2.9% | |
| 25–50% | 2.8% | 4.8% | |
| 50–75% | 1.0% | 2.7% | |
| Virtually all | 10.2% | 6.4% | |
| You do not believe in adhesion prevention | 0.743 | ||
| Disagree | 39.1% | 34.4% | |
| Neutral | 38.5% | 35.8% | |
| Agree | 22.4% | 29.8% | |
| You would like to apply adhesion prevention in all abdominal operations | <0.001* | ||
| Disagree | 33.6% | 45.8% | |
| Neutral | 35.2% | 25.3% | |
| Agree | 31.2% | 28.9% | |
| You would like to apply adhesion prevention only in certain indications | 0.86 | ||
| Disagree | 19.2% | 17.5% | |
| Neutral | 27.7% | 26.9% | |
| Agree | 53.1% | 55.7% | |
| Laparoscopic surgery causes fewer adhesions than open surgery | <0.001* | ||
| Disagree | 23.4% | 4.9% | |
| Neutral | 0% | 9.5% | |
| Agree | 76.6% | 85.6% | |
| Meticulous surgical technique reduces adhesions | <0.001* | ||
| Disagree | 21.2% | 8.2% | |
| Neutral | 0% | 16.3% | |
| Agree | 78.8% | 75.5% | |
| Extraperitoneal mesh position causes fewer adhesions than intraperitoneal mesh position | 0.95 | ||
| Disagree | 4.6% | 3.5% | |
| Neutral | 8.8% | 7.6% | |
| Agree | 86.6% | 88.8% | |
| A coated mesh causes fewer adhesions than an uncoated mesh | 0.40 | ||
| Disagree | 5.2% | 7.0% | |
| Neutral | 26.4% | 24.9% | |
| Agree | 68.4% | 68.0% | |
| Electrocautery causes fewer adhesions | - | ||
| Disagree | - | 32.8% | |
| Neutral | - | 56.1% | |
| Agree | - | 11.1% | |
| Less intraperitoneal suture material reduces adhesions | 0.32 | ||
| Disagree | 13.1% | 9.8% | |
| Neutral | 39.6% | 33.2% | |
| Agree | 47.3% | 57.1 | |
| You do not believe in antiadhesive agents | 0.92 | ||
| Disagree | 26.5% | 24.2% | |
| Neutral | 44.3% | 42.0% | |
| Agree | 29.1% | 33.8% | |
| You experience a lack of clarity about when to use an antiadhesive agents | 0.005 | ||
| Disagree | 11.0% | 6.3% | |
| Neutral | 22.3% | 28.6% | |
| Agree | 66.7% | 65.1% | |
| You prefer using a locally acting antiadhesive agent over an agent that acts throughout the whole abdomen | 0.06 | ||
| Disagree | 31.3% | 24.5% | |
| Neutral | 50.3% | 55.2% | |
| Agree | 18.4% | 20.3% | |
| You think the costs do not outweigh the possible benefits of antiadhesive agents | 0.58 | ||
| Disagree | 9.2% | 8.2% | |
| Neutral | 57.4% | 59.1% | |
| Agree | 33.3% | 32.7% |
a a Bonferroni corrected P-value of <0.0017 (0.05/29) is considered significant.
* p value is considered significant