BLUNT ABDOMINAL TRAUMA AND PERITONEALADHESIONS

摘要

INTRODUCTION. THE CONTINUALLY CHANGING OF THE MEDICAL FIELD AND ADVANCES IN DIAGNOSIS ANDMANAGEMENT OF MULTIPLE TRAUMA PATIENTS HAVE, RECENTLY, DETERMINED A CONSERVATIVE APPROACHFOR MOST CASES OF BLUNT ABDOMINAL TRAUMA. THE PRESENT STUDY AIMS TO DETERMINE THE IMPACT OFBLUNT ABDOMINAL TRAUMA UPON THE PROCESS OF PERITONEAL ADHESION FORMATION.MATERIAL AND METHOD. THE PURPOSE OF THIS RETROSPECTIVE STUDY IS TO EVALUATE THE PREVALENCE ANDSEVERITY OF INTRAABDOMINAL ADHESIONS IN EMERGENCY LAPAROTOMY IN PATIENTS WHO HAD NT BEENOPERATED BEFORE AND HAD A HISTORY OF BLUNT ABDOMINAL TRAUMA. 10 PATIENTS WHO UNDERWENTEMERGENCY LAPAROTOMY IN THE SURGICAL DEPARTMENT OF “SF?NTUL PANTELIMON” HOSPITAL FROMBUCHAREST, BETWENN JANUARY 2015-DECEMBER 2016 WERE ENROLLED IN THE STUDY. THE SEVERITY OFINTRAABDOMINAL ADHESIONS WERE EVALUATED USING Z?HLKE CLASSIFICATION. THE OVERALL ADHESIONRATIO FOR THIS STUDY GROUP WAS FOUND TO BE 80%.RESULTS AND CONCLUSIONS. THE MAIN CAUSE FOR BOWEL OBSTRUCTIONS SECONDARY TO INTRABDOMINALPERITONEAL ADHESIONS IS REPRESENTED BY PREVIOUS INTRAABDOMINAL SURGERY. IN PATIENTS WITH NOSURGICAL HISTORY, INTRAABDOMINAL ADHESIONS HAVE RARELY BEEN ATTRIBUTED TO BLUNT ABDOMINALTRAUMA.