Peritoneal adhesions and their relation to abdominal surgery

Weibel, M.-A.; Majno, Guido

doi:10.1016/s0002-9610(73)80123-0

Cited by 438 publications

(236 citation statements)

References 34 publications

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“…These phenomena might suggest alterations in the peritoneal tissue of obese individuals, which can be caused by the metabolic activity of fat tissue as well as increased intra-abdominal pressure. In our study, a higher number of intraperitoneal adhesions were observed in obese patients and are similar to the results of the Weibel and Majno study who examined cadavers and concluded that adhesions are more frequent in females and that the incidence increases with higher body mass [36].…”

Section: Discussionsupporting

confidence: 91%

Stability of peritoneal tissue evaluated by the means of DSC in obese patients undergoing laparoscopic cholecystectomy

Torres

Trębacz

Pietrzyk

et al. 2017

J Therm Anal Calorim

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Obesity is considered to be the leading metabolic disease in the world. The coincidence of postoperative complications is higher in obese individuals; thus, laparoscopic techniques due to their minimally invasive character became a standard in the surgical treatment of obesity. The proper function of peritoneal tissue is essential for the response to surgical trauma. Therefore, understanding the alterations of peritoneal tissue of obese individuals might explain the increased number of postoperative complications observed in obese patients. The study aimed to assess whether the stability of peritoneum is altered in obese patients and whether it corresponds to early postoperative complications in obese patients. Samples of parietal peritoneal tissue were collected at the beginning of the laparoscopic cholecystectomy from 80 patients. Differential scanning calorimetry was performed on samples defrosted at room temperature. Patients were divided into three groups according to the BMI value. For statistical analysis, ANOVA, Chi-square, Student's t test, and correlations with Pearson test were used. Significantly lower DH and higher T m were in patients in whom intraperitoneal adhesions were reported. Lower DH was reported in samples obtained from patients with temperature above 37°C in the first 24 h postoperatively. Enthalpy of thermal transition (DH) in peritoneum obtained from parous was significantly lower in comparison with the samples from nullipara. It can be concluded that DSC parameters correlated with parameters related to the early postoperative period. Occurrence of adhesions was reported more frequently in the group of obese and overweight individuals and correlated with lower change in enthalpy of collagen denaturation.

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Section: Discussionsupporting

confidence: 91%

Stability of peritoneal tissue evaluated by the means of DSC in obese patients undergoing laparoscopic cholecystectomy

Torres

Trębacz

Pietrzyk

et al. 2017

J Therm Anal Calorim

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“…Postmortem studies show clearly that the most common cause of peritoneal adhesion is previous intra-or transperitoneal surgery [20]. In pelvic surgery, adhesions forming after laparotomy were reported in up to half the patients [21].…”

Section: Complications Of Lrpmentioning

confidence: 99%

Technique of laparoscopic (endoscopic) radical prostatectomy

Stolzenburg

Truß

2003

BJU International

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SUMMARYDuring the last decade laparoscopy has become a standard technique available to the urologist, through constant technological advances and refinements. The progress of laparoscopic/endoscopic techniques allows the indications for this surgery to include complex oncological procedures like radical prostatectomy. Since the first description of laparoscopic radical prostatectomy (LRP) in the early 1990s the technique has undergone significant technical modifications. Transperitoneal LRP is now a standard procedure and can be used successfully and reproducibly, giving results comparable with those from the open retropubic procedure. Despite many advantages, transperitoneal laparoscopy is associated with potential intraperitoneal complications. Because of the limitations inherent in the transperitoneal route, a totally extraperitoneal endoscopic radical prostatectomy (EERPE) has been developed. The totally extraperitoneal endoscopic access provides a safe and minimally invasive approach to various urological procedures, including prostatectomy. This technical improvement completely obviates intra‐abdominal complications. EERPE combines the advantages of minimally invasive laparoscopy and the open retropubic approach. We review the surgical techniques of LRP and EERPE, and highlight the indications, contraindications and outcomes.

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“…Fibrosis, which can lead to adhesions between healing tissues, is a problem that is seen in a wide array of surgical specialties. Adhesions that form postoperatively have been associated with "failed back syndrome," bowel obstruction, chronic pain, and infertility [1], [2], [3], [4], [5], [6], [7], [8], [9], [10], [11], [12], [13], [14], [15], [16], [17], [18], [19], [20], [21], [22], [23], [24], [25] . In addition, subsequent surgeries are made more challenging and can lead to organ injury because of attachment between structures that are usually independent of one another.…”

Section: Introductionmentioning

confidence: 99%

“…Extensive research has been conducted into the mechanism of adhesion formation. It is believed that after surgery there is a decreased concentration and activity of fibrinolytic activity, resulting in deposition of fibrin matrix on which organized collagen, and thus, scar formation can occur [1], [2], [3], [6], [7], [8], [11], [14], [15], [20], [23], [26], [27] . Because of the morbidity associated with unwanted or excessive adhesion between tissues, multiple strategies have been used and studied to prevent adhesion formation.…”

Section: Introductionmentioning

confidence: 99%