Hospital epidemiology of abdominal adhesions
https://doi.org/10.12737/22982
Abstract
The purpose of the research was to establish main causes of development and outcomes of adhesive obstruction. We analyzed the outcomes of treatment of 154 patients with acute intestinal obstruction. The following data were taken into consideration: age, gender, surgeries in past medical history, terms of adhesions manifestations, clinical symptoms, findings of additional examinations, methods of treatment, outcome. It has been established, that the most frequent causes of adhesions were appendectomy (23 %), stomach operations (21 %) and gynecological interventions (14 %). After surgeries performed in conditions of regional hospitals, adhesions developed after appendectomy, gynecological operations and interventions on the intestine. In patients operated in city hospitals intestinal obstruction more often occurred after extensive operations on the stomach, appendix, and after gynecological interventions. Urgent surgical interventions more often led to adhesive process in the abdominal cavity (63 %). Mortality made 5.8 %. Causes of death were intestinal fistulas and abdominal sepsis. Thus, acute adhesive intestinal obstruction as an extreme form of abdominal adhesions continues to be an urgent medical issue.
About the Authors
N. I. Ayushinova
Irkutsk Scientific Center of Surgery and Traumatology;Irkutsk State Medical Academy of Continuing Education
Russian Federation
Russian Federation
I. A. Shurygina
Irkutsk Scientific Center of Surgery and Traumatology
Russian Federation
Russian Federation
M. G. Shurygin
Irkutsk Scientific Center of Surgery and Traumatology
Russian Federation
Russian Federation
E. G. Grigoryev
Irkutsk Scientific Center of Surgery and Traumatology;Irkutsk State Medical University
Russian Federation
Russian Federation
References
1. Аюшинова Н.И., Шурыгина И.А., Шурыгин М.Г., Глинская Е.В. Оценка выраженности спаечного процесса в брюшной полости // Сибирский медицинский журнал (Иркутск). - 2014. - Т. 130, № 7. - С. 10-14
2. Аюшинова Н.И., Шурыгина И.А., Шурыгин М.Г., Панасюк А.И. Современные подходы к профилактике спаечного процесса в брюшной полости // Сибирский медицинский журнал (Иркутск). - 2011. - Т. 105, № 6. - С. 16-20
3. Баранов Г.А. Отдалённые результаты оперативного устранения спаечной кишечной непроходимости // Хирургия. - 2006. - № 7. - С. 56-58
4. урлев В.А., Дубинская Е.Д., Гаспаров А.С. Перитонеальные спайки: от патогенеза до профилактики // Проблемы репродукции. - 2009. - № 3. - С. 36-44
5. Матвеев Н.Л., Арутюнян Д.Ю. Внутрибрюшные спайки - недооцениваемая проблема (обзор литературы) // Эндоскопическая хирургия. - 2007. - T. 13, № 5. - С. 60-69
6. Тарасенко Э.И. Острая спаечная тонкокишечная непроходимость: диагностика и лечение // Анналы хирургии. - 2007. - № 4. - С. 61-65
7. Шавалеев Р.Р., Плечев В.В., Корнилаев П.Г., Пашков С.А., Дунюшкин С.Е. Профилактика спаечной болезни брюшины у больных с послеоперационными вентральными грыжами // Казанский медицинский журнал. - 2005. - Т. 86, № 1. - С. 24-26
8. Amid PK (2002). Hyaluronate does not prevent adhesions. J. Surg. Res. 107 (2), 219-222.
9. De Cherney AH, di Zerega GS (1997). Clinical problem of intraperitoneal postsurgical adhesion formation following general surgery and the use of adhesion prevention barriers. Surg. Clin. North Am., (77), 671-688.
10. Gutmann JN, Penzias AS, Diamond MP (1995). Adhesions in reproductive surgery. In: Reproductive Medicine and Surgery; Wallach EE, Zaccur HA (eds.), 681-693.
11. Menzies D (2009). Peritoneal adhesions: Incidence, cause, and prevention. Biomaterials, (30), 30753083.
12. Mettler L, Audebert A, Lehmann-Willenbrock E et al. (2004). A randomized, prospective, controlled, multicenter clinical trial of a sprayable, site-specific adhesion barrier system in patients undergoing myomectomy. Fertil. Steril., (82), 398-404.
13. O’Leary DP, Coakley JB (1992). The influence of suturing and sepsis on the development of postoperative peritoneal adhesions. Ann. R. Coll. Surg. Engl., (74), 134.
14. Ray NF, Denton WG, Thamer M, Henderson SC, Perry S (1998). Abdominal adhesiolysis: inpatient care and expenditures in the United States in 1994. J. Am. Coll. Surg., (186), 1-9.
15. Wallwiener D, Meyer A, Bastert G (1998). Adhesion formation of the parietal and visceral peritoneum: An explanation for the controversy on the use of autologous and alloplastic barriers? Fertil. Steril,, (69), 132-137.
Review
For citations:
Ayushinova N.I., Shurygina I.A., Shurygin M.G., Grigoryev E.G. Hospital epidemiology of abdominal adhesions. Acta Biomedica Scientifica. 2016;1(4):115-118. (In Russ.) https://doi.org/10.12737/22982
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