PERITONEAL ADHESION SYNDROME AND HOSPITALREADMISSIONS AFTER OPEN ABDOMINAL AND PELVICSURGERY

摘要

THE PURPOSE OF THE PRESENT STUDY IS TO DEMONSTRATE THE HIGH INCIDENCE OF THEPERITONEAL ADHESIONS AFTER OPEN ABDOMINAL OR PELVIC SURGERY, IN ORDER TO PROVIDE ABASIS FOR THE FUTURE STUDIES REGARDING THE NEW AND EFFICIENT PREVENTION METHODS.MATERIAL. DATA FROM THE MEDICAL RECORD DATABASE OF THE SURGICAL DEPARTMENT OF“SF?NTUL PANTELIMON”EMERGENCY HOSPITAL FROM BUCHAREST, ROMANIA, WERE USED IN ORDERTO IDENTIFY PATIENTS UNDERGOING OPEN ABDOMINAL OR PELVIC SURGERY IN 2014, WHO HAD NORECORD OF SUCH SURGICAL INTERVENTIONS IN THE PRECEDING 5 YEARS, BEING FOLLOWED UP FOR3 YEARS, UNTIL JANUARY 2018, ANALYSING THE SUBSEQUENT READMISSIONS. THE RATE OF ADHESIONRELATED ADMISSIONS AMONG THE TOTAL NUMBER OF ADMISSIONS BETWEEN JANUARY 2014 ANDJANUARY 2018 IN THE GENERAL SURGERY DEPARTMENT WAS, ALSO, ASSESSED.RESULTS. 7% OF ALL READMISSIONS WERE RELATED TO POSTOPERATIVE PERITONEAL ADHESIONS,MOST OF THEM BEING MANAGED OPERATIVELY. 35% OF THE PATIENTS WHO UNDERWENT ABDOMINALOR PELVIC SURGERY IN 2014 WERE READMITTED FOR AT LEAST ONE TIME OVER THE 3 YEARS OFFOLLOW-UP FOR A COMPLICATION OF THE PERITONEAL ADHESION SYNDROME, MOST OF THERADMISSIONS OCCURING IN THE FIRST YEAR AFTER THE INITIAL INTERVENTION, BUT CONTINUINGSTEADILY THROUGHOUT THE 3-YEAR PERIOD. BETWEEN JANUARY 2014 AND JANUARY 2018, 15% OFTHE ADMISSIONS WERE DIRECTLY RELATED TO POSTOPERATIVE ADHESIONS.CONCLUSIONS. POSTOPERATIVE PERITONEAL ADHESION SYNDROME HAS AN IMPORTANT IMPACTUPON PATIENTS, SURGEONS AND THE HEALTHCARE SYSTEM, HIGHLIGHTING THE NECESSITY OFEFFICIENT PREVENTION METHODS.