BLUNT ABDOMINAL TRAUMA AND PERITONEAL ADHESIONS
BLUNT ABDOMINAL TRAUMA AND PERITONEAL ADHESIONS

Summary/Abstract: INTRODUCTION. THE CONTINUALLY CHANGING OF THE MEDICAL FIELD AND ADVANCES IN DIAGNOSIS AND MANAGEMENT OF MULTIPLE TRAUMA PATIENTS HAVE, RECENTLY, DETERMINED A CONSERVATIVE APPROACH FOR MOST CASES OF BLUNT ABDOMINAL TRAUMA. THE PRESENT STUDY AIMS TO DETERMINE THE IMPACT OF BLUNT ABDOMINAL TRAUMA UPON THE PROCESS OF PERITONEAL ADHESION FORMATION.MATERIAL AND METHOD. THE PURPOSE OF THIS RETROSPECTIVE STUDY IS TO EVALUATE THE PREVALENCE AND SEVERITY OF INTRAABDOMINAL ADHESIONS IN EMERGENCY LAPAROTOMY IN PATIENTS WHO HAD NT BEEN OPERATED BEFORE AND HAD A HISTORY OF BLUNT ABDOMINAL TRAUMA. 10 PATIENTS WHO UNDERWENT EMERGENCY LAPAROTOMY IN THE SURGICAL DEPARTMENT OF “SFẬNTUL PANTELIMON” HOSPITAL FROM BUCHAREST, BETWENN JANUARY 2015-DECEMBER 2016 WERE ENROLLED IN THE STUDY. THE SEVERITY OF INTRAABDOMINAL ADHESIONS WERE EVALUATED USING ZŰHLKE CLASSIFICATION. THE OVERALL ADHESION RATIO FOR THIS STUDY GROUP WAS FOUND TO BE 80%.RESULTS AND CONCLUSIONS. THE MAIN CAUSE FOR BOWEL OBSTRUCTIONS SECONDARY TO INTRABDOMINAL PERITONEAL ADHESIONS IS REPRESENTED BY PREVIOUS INTRAABDOMINAL SURGERY. IN PATIENTS WITH NO SURGICAL HISTORY, INTRAABDOMINAL ADHESIONS HAVE RARELY BEEN ATTRIBUTED TO BLUNT ABDOMINAL TRAUMA.

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