PMID- 27452937
OWN - NLM
STAT- MEDLINE
DCOM- 20160921
LR  - 20220410
IS  - 1221-9118 (Print)
IS  - 1221-9118 (Linking)
VI  - 111
IP  - 3
DP  - 2016 May-Jun
TI  - Clinical Profile of Patients with Postoperative Adhesive Intestinal Obstruction 
      and its Association with Intraoperative Peritoneal Adhesion Index.
PG  - 251-8
LID - 5 [pii]
AB  - Adhesions following surgery represent a major unsolved problem. They occur after 
      50% to 100% of all surgical interventions in the abdomen and may complicate the 
      work of the surgeon considerably. Peritoneal adhesions are pathological bands 
      that typically form between the omentum, the small and large bowels, the 
      abdominal wall, and other intra-abdominal organs. These bands may be a thin film 
      of connective tissue, a thick fibrous bridge containing blood vessels and nerve 
      tissue, or a direct adhesion between two organ surfaces. AIMS AND OBJECTIVES: 1. 
      To study the clinical profile of patients with adhesive intestinal obstruction 
      undergoing laparotomy. 2. To assess and analyze the intra-operative peritoneal 
      adhesion index (PAI) in individual cases. 3. To associate the clinical profile 
      with peritoneal adhesion index in patients of adhesive intestinal obstruction. 
      RESULT: The study was conducted in the Department of Surgery, Himalayan Institute 
      of Medical Sciences (HIMS), SRH University, Dehradun, India over a period of 12 
      months. A total of 30 patients with diagnosis of post operative adhesive 
      intestinal obstruction were recruited in the study. It was observed that 
      adhesions over each abdominal region contributed equal to the total PAI. In this 
      study it was observed that the patients who had previous emergency surgery had 
      higher incidence of adhesions, than elective surgery whereas those patients who 
      underwent both elective and emergency surgeries, the incidence of adhesions were 
      lowest. Analysis of variance with respect to abdominal scar resulted that the 
      difference between groups was observed to be statistically not significant (P 
      0.05), so patients with all type of abdominal scars of previous surgeries has 
      equal chance of developing adhesions. CONCLUSION: PAI is a sensitive tool for 
      clinical and intra-operative assessment of adhesive intestinal obstruction for 
      the quantification of the adhesions and gives a precise description of the 
      underlying intra-abdominal condition while planning a surgical management of the 
      disease.
CI  - Celsius.
FAU - Sisodia, Varun
AU  - Sisodia V
FAU - Sahu, Shantanu Kumar
AU  - Sahu SK
FAU - Kumar, Saurabh
AU  - Kumar S
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - Romania
TA  - Chirurgia (Bucur)
JT  - Chirurgia (Bucharest, Romania : 1990)
JID - 9213031
SB  - IM
MH  - Adult
MH  - Cross-Sectional Studies
MH  - Digestive System Surgical Procedures/*adverse effects
MH  - Elective Surgical Procedures/statistics & numerical data
MH  - Emergency Treatment/statistics & numerical data
MH  - Female
MH  - Humans
MH  - Incidence
MH  - India/epidemiology
MH  - Intestinal Obstruction/epidemiology/*etiology
MH  - Intraoperative Period
MH  - Male
MH  - Prospective Studies
MH  - Recurrence
MH  - Risk Assessment
MH  - Risk Factors
MH  - Surgery Department, Hospital/statistics & numerical data
MH  - Tissue Adhesions/*complications/epidemiology/etiology/prevention & control
EDAT- 2016/07/28 06:00
MHDA- 2016/09/23 06:00
CRDT- 2016/07/26 06:00
PHST- 2016/06/01 00:00 [accepted]
PHST- 2016/07/26 06:00 [entrez]
PHST- 2016/07/28 06:00 [pubmed]
PHST- 2016/09/23 06:00 [medline]
AID - 5 [pii]
PST - ppublish
SO  - Chirurgia (Bucur). 2016 May-Jun;111(3):251-8.