Intestinal obstruction secondary to postoperative adhesion formation in abdominal surgery. Review literature

Published on Jul 1, 2015in Cirugia Y Cirujanos0.264
· DOI :10.1016/J.CIRCEN.2015.09.031
José Manuel Correa-Rovelo4
Estimated H-index: 4
,
Guadalupe Cleva Villanueva-López2
Estimated H-index: 2
(IPN: Instituto Politécnico Nacional)
+ 2 AuthorsAlejandro Díaz-Girón-Gidi2
Estimated H-index: 2
(Universidad La Salle)
Sources
Abstract
Abstract Intestinal obstruction development after upper and lower abdominal surgery is part of the daily life of every surgeon. Despite this one, there are very few good quality studies that enable the frequency of intestinal obstruction to be assessed, even though postoperative adhesions are the cause of considerable direct and indirect morbidity and its prevention can be considered a public health problem. And yet, in Mexico, at this time, there is no validated recommendation on the prevention of adhesions, or more particularly, in connection with the use of a variety of anti-adhesion commercial products which have been marketed for at least a decade. Intraperitoneal adhesions develop between surfaces without peritoneum of the abdominal organs, mesentery, and abdominal wall. The most common site of adhesions is between the greater omentum and anterior abdominal wall. Despite the frequency of adhesions and their direct and indirect consequences, there is only one published recommendation (from gynaecological literature), regarding peritoneal adhesion prevention. As concerning colorectal surgery, more than 250,000 colorectal resections are performed annually in the United States, and 24% to 35% of them will develop a complication. The clinical and financial burden of these complications is enormous, and colorectal surgery has been specifically highlighted as a potential prevention point of surgical morbidity.
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Abstract Background Surgically induced adhesions complicate up to 100% of abdominal surgeries. Food and Drug Administration–approved treatments are generally not only less effective than desired but they also have major contraindications. Oxychlorine species, including chlorine dioxide (ClO 2 ), suppress scar formation in infected wounds without affecting keratinocytes while reducing fibroblast proliferation. The aim of the present study was to evaluate the effect of oxychlorine solutions contai...
5 CitationsSource
Background Adhesive small bowel obstruction (ASBO) is an important cause of hospital admission, is associated with significant morbidity and mortality, and therefore is a substantial burden for healthcare systems worldwide. Icodextrin 4% solution (Adept, Shire Pharmaceuticals, UK) is a high-molecular-weight a-1,4 glucose polymer approved in Europe for use as intraoperative lavage and postoperative instillation to reduce the occurrence of post-surgery intra-abdominal adhesions. The present clinic...
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#1Joris J. Harlaar (Erasmus University Medical Center)H-Index: 12
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Last. Johan F. Lange (Erasmus University Medical Center)H-Index: 57
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Background The median laparotomy is frequently used by abdominal surgeons to gain rapid and wide access to the abdominal cavity with minimal damage to nerves, vascular structures and muscles of the abdominal wall. However, incisional hernia remains the most common complication after median laparotomy, with reported incidences varying between 2-20%. Recent clinical and experimental data showed a continuous suture technique with many small tissue bites in the aponeurosis only, is possibly more eff...
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Background Postoperative bowel obstruction caused by intra-abdominal adhesions occurs after all types of abdominal surgery. It has been suggested that the laparoscopic technique should reduce the risk for adhesion formation and thus for postoperative bowel obstruction. This study was designed to compare the incidence of bowel obstruction in a randomized trial where laparoscopic and open resection for colon cancer was compared.
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#2Damian McKay ('QUB': Queen's University Belfast)H-Index: 2
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Background Crohn's disease (CD) is a chronic inflammatory bowel disease that most commonly involves the terminal ileum and colon (55 percent). Surgical treatment is required in approximately 70 percent of patients. Multiple procedures and repeat operations are required in 30 - 70 percent of all patients (Duepree 2002) but the disease remains incurable. Laparoscopy has gained wide acceptance in gastrointestinal surgery with potential advantages of faster return to normal activity and diet, reduce...
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#1G. W. Taylor (St James's University Hospital)H-Index: 4
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Background: This study investigated adhesive intestinal obstruction (AIO) and incisional hernia (IH) in patients undergoing laparoscopically assisted and open surgery for colorectal cancer. Methods: In a case-note review of patients randomized to the Medical Research Council's Conventional versus Laparoscopic-Assisted Surgery In Colorectal Cancer (CLASICC) trial, primary and key secondary endpoints were AIO and IH admission rates respectively. Results: Of 411 patients, 11 were admitted for AIO: ...
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#2Yucel CengizH-Index: 12
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#1Terry T. W. Leung (U of C: University of Calgary)H-Index: 2
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Introduction:Appendicitis is a common problem that is typically treated with an appendectomy. Following abdominal surgery, adhesions may form and may cause a subsequent small bowel obstruction (SBO). The purpose of our study was to determine the rate of post-appendectomy SBO in an adult population,
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#2Peng F Wong (University Hospital of North Tees)H-Index: 2
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Intra-abdominal adhesions are common and challenge patients, surgeons and other healthcare providers. They are potentially preventable and several agents that act as barriers between adjacent peritoneal surfaces have been evaluated for prophylaxis. Efficacy, judged by systematic reviews, has only been undertaken in gynaecological surgery.
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Platelet-rich fibrin (PRF) was prepared from the blood of BALB/C inbred mice to explore potential effects on postoperative intestinal adhesion. A murine model of intestinal adhesion characterized by abdominal wall defect/and cecum damage was established by scraping caecum serosa and cutting peritoneum and muscles in the abdominal wall. The wound was covered with PRF (group A), sodium hyaluronate (group B), or left alone (blank control; group C). All animals were monitored for 28 days. The incide...
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Background Postoperative adhesions (POAs) causing mechanical bowel obstruction is a challenging problem for children who underwent prior abdominal surgeries. Unlike in adults, the role of conservative management remains controversial and children tend to require re-operation. However, despite the longer lifetime risk inherent to the pediatric population, studies are still lacking to come up with guidelines on diagnosis and management. This study aimed to review the profiles and outcomes of patie...
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#1Sheng Li (Southern Medical University)H-Index: 1
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Background and aims Abdominal cocoon (AC) is a rare abdominal disease with nonspecific clinical features, and it is difficult to be diagnosed before operation and hard to be treated in clinical practice. The aim of this study is to investigate the diagnosis and treatment of AC.
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