PERITONEAL ADHESION SYNDROME AND HOSPITAL READMISSIONS AFTER OPEN ABDOMINAL AND PELVIC SURGERY
PERITONEAL ADHESION SYNDROME AND HOSPITAL READMISSIONS AFTER OPEN ABDOMINAL AND PELVIC SURGERY

Summary/Abstract: THE PURPOSE OF THE PRESENT STUDY IS TO DEMONSTRATE THE HIGH INCIDENCE OF THE PERITONEAL ADHESIONS AFTER OPEN ABDOMINAL OR PELVIC SURGERY, IN ORDER TO PROVIDE A BASIS FOR THE FUTURE STUDIES REGARDING THE NEW AND EFFICIENT PREVENTION METHODS.MATERIAL. DATA FROM THE MEDICAL RECORD DATABASE OF THE SURGICAL DEPARTMENT OF “SFẬNTUL PANTELIMON”EMERGENCY HOSPITAL FROM BUCHAREST, ROMANIA, WERE USED IN ORDER TO IDENTIFY PATIENTS UNDERGOING OPEN ABDOMINAL OR PELVIC SURGERY IN 2014, WHO HAD NO RECORD OF SUCH SURGICAL INTERVENTIONS IN THE PRECEDING 5 YEARS, BEING FOLLOWED UP FOR 3 YEARS, UNTIL JANUARY 2018, ANALYSING THE SUBSEQUENT READMISSIONS. THE RATE OF ADHESION-RELATED ADMISSIONS AMONG THE TOTAL NUMBER OF ADMISSIONS BETWEEN JANUARY 2014 AND JANUARY 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 ABDOMINAL OR PELVIC SURGERY IN 2014 WERE READMITTED FOR AT LEAST ONE TIME OVER THE 3 YEARS OF FOLLOW-UP FOR A COMPLICATION OF THE PERITONEAL ADHESION SYNDROME, MOST OF THE RADMISSIONS OCCURING IN THE FIRST YEAR AFTER THE INITIAL INTERVENTION, BUT CONTINUING STEADILY THROUGHOUT THE 3-YEAR PERIOD. BETWEEN JANUARY 2014 AND JANUARY 2018, 15% OF THE ADMISSIONS WERE DIRECTLY RELATED TO POSTOPERATIVE ADHESIONS.CONCLUSIONS. POSTOPERATIVE PERITONEAL ADHESION SYNDROME HAS AN IMPORTANT IMPACT UPON PATIENTS, SURGEONS AND THE HEALTHCARE SYSTEM, HIGHLIGHTING THE NECESSITY OF EFFICIENT PREVENTION METHODS.

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