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Liver Resection For Colorectal Liver Metastasis In Segment 7 Shows Moderate Omental To Parietes Adhesion Seen What Does This Mean?

Posted on Wed, 14 Feb 2024

Question: Liver resection for colorectal liver metastasis in segment 7 of liver. On notes on the discharge summary it says, 'moderate omental to parietes adhesion seen'. What does this mean?

Answered by Dr. Shinas Hussain (17 hours later)

Brief Answer:
It is a sign of advanced disease.

Detailed Answer:
Hi,
I have gone through the query and I can understand your concerns.
The given description is a finding that the surgeon had noted during the procedure.There is significant adhesion to omentum (large sheet like structure in the abdomen) and abdominal wall layers. Usually it indicates slightly advanced disease.
Thanks.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Shinas Hussain (46 minutes later)

the surgeon wrote moderate not advanced and he didnt write advanced disease

Answered by Dr. Shinas Hussain (17 minutes later)

Brief Answer:
Yes

Detailed Answer:
Hi,

Adhesion is moderate only.
The two possibilities in this case are the adhesions can be due to previous surgery.
The second possibility is an advanced disease process. Even if the adhesion is moderate it is significant and point towards an advanced disease.
If you attach the complete report in the followup query I can have a better look.
Thanks

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Shinas Hussain (30 minutes later)

ALL HE HAS IN REPORT IS MODERATE OMENTAL TO PARIETESADHESION SEEN I AM WAITING FOR THE HOSPITAL TO GET BACK TO ME ITS 3 WEEKS SINCE LIVER RESECTION

Answered by Dr. Shinas Hussain (8 minutes later)

Brief Answer:
Mostly post operative change.

Detailed Answer:
Hi,
Most probably it is a post operative change due to previous surgery and doesn’t have much clinical significance.
Thanks

Above answer was peer-reviewed by : Dr. LAKSHMI

Follow up: Dr. Shinas Hussain (34 minutes later)

Can they treat that with medication. I will ring the hospital on tuesday to find out more surprised they havnt been in touch

Answered by Dr. Shinas Hussain (32 minutes later)

Brief Answer:
Mostly no treatment required.

Detailed Answer:
Hi,
Post operative adhesion is a normal finding and generally no treatment is required.
Thanks

Above answer was peer-reviewed by : Dr. LAKSHMI

Follow up: Dr. Shinas Hussain (47 minutes later)

Thank you for all your help

Answered by Dr. Shinas Hussain (4 minutes later)

Brief Answer:
Welcome

Detailed Answer:
Welcome

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Above answer was peer-reviewed by : Dr. LAKSHMI