Page 34 - World Journal of Laparoscopic Surgery
P. 34

Comparative Study of Postoperative Adhesions by Laparotomy and Laparoscopic Procedures

            10. Adhesions can be prevented by using laparoscopy as a  after surgical trauma in the rat model. Fertile Steril 1996;66:
                means of surgery in first instance.                 1018-22.
                                                                 5. Beeker JM, Dayton MT Fazio VW, et al. prevention of
            11. Adhesions can also be presented with meticulous tech-
                                                                    postoperative abdominal adhesions by a sodium hyaluronate
                nique and minimal tissue handling.                  based to resalable membranes a preoperative randomized double
            12. Laparotomy and adhesiolysis can be used for patients  blind multicentce shedy. J Ann Coll Surgery 1996;183:297-306.
                with acute intestinal obstruction safely.        6. Bleber EJ, Levrant S. Risk of anterior abdominal wall adhesions
                                                                    inpatients with umbilical hernia repair. J Am Assoc Gynecol
                                                                    Laparosc 1994;1,4:S4.
            SUMMARY                                              7. Chamberiain G, Brown JC (Eds). Gynecological laparoscopy:
                                                                    Report on the confidential enquiry into gynecological laparos-
            A clinical study of 50 cases of postoperative adhesions by
                                                                    copy. London: Royal college of obstetricians and gynecologists,
            laparotomy and laparoscopy was done during March 2007   1978.
            to February 2009.                                    8. diZerega GS, Rodgers KE. The peritoneum. NewYork Springer-
               Various etiopathogenies of postoperative adhesions with  Veriag 1992;11-25.
                                                                 9. Donckier V, Closet J, Van Gansbecke D, et al. contribution of
            respect to age and etiology and to monitor the outcome of
                                                                    CT to decision making in the management of adhesive small
            management like laparoscopic and conventional (open)    bowel obstruction. Br J Surg 1988;85:1071-74.
            adhesiolysis.                                       10. Ellis H, Mavan BJ, Thompson JN, et al. Adhesion related hospital
               The mean age of incidence is – 40.10 years. The      readmissions after abdominal and pelvic surgery,
            incidence was more in 31 to 40 years of age group followed  a retrospective cohort study lancet 1999,427;653-55.
                                                                11. Ellis H. The clinical significance of adhesions; Focus on intestinal
            by 21 to 30.
                                                                    obstruction. Eur J Surg 1997;S 577:5-9.
               Sex Ratio is 1:1 for male and females.           12. Frager D, Medwid SW, Baerr JW, Mollinelli B, Freidman M.
               All patients in this study presented with pain abdomen,  CT of small bowel obstruction. Am J Roentgenol 1994;162:
            33 patients presented with distension of abdomen and    37-41.
                                                                13. Gray Anatomy Churchill livington publication (38th ed).
            10 patients with vomiting.
                                                                14. Guerriero S, Ajossa S, Lai MP, Mais V,Paoletti AM, Melis
               Clinically the patients were diagnosed to have acute,  GB.Transvaginal ultrasonography in the diagnosis of pelvic
            subacute intestinal obstruction and chronic pain abdomen.  adhesions. Hum Reprod 1997;12:2649-53.
            Patient with acute and subacute intestinal obstruction were  15. Gulliver DJ, Backert KA. CT of the small bowel. Appl Radial
                                                                    1994;11:39-44.
            subjected to plain X-ray abdomen and patient with chronic
                                                                16. Hellebrekers BW, Trimbos-Kemper GC, Bakkum EA, Trimbos
            pain abdomen to ultrasound abdomen.
                                                                    JB, Declerck PJ, Kooistra T, et al. Short-term effect of surgical
               All the patients in this study underwent surgery. Patients  trauma on rat peritoneal fibronolytic activity and its role in
            with acute, subacute intestinal obstruction well subjected  adhesion  formation.  Thromb  Haemost  2000;84:
            to laparotomy and patient with chronic pain abdomen to  876-81.
                                                                17. Herschlag A, Herness IGO, Wimberly HC, et al. The effect of
            laparoscopy. 34 patients underwent laparotomy and
                                                                    interleukin–1, on adhesion formation in the rat. Am J obstet
            adhesiolysis and 16 patients underwent laparoscopy and  Gynecol 1991;4:141-51.
            adhesiolysis.                                       18. Holmdahl L, Eriksson E, al-Jabreen M, Risberg B. Fibrinolysis
               Mean time for laparotomy 92.65 minutes Mean time for  in human peritoneum during operation. Surgery 1996;119:
            laparoscopy 53.44 minutes.                              701-05.
                                                                19. Holmdahl L, Falkenberg M, Ivarsson ML, Risberg B.
               Mean duration of stay following laparotomy was 13.53
                                                                    Plasminogen activators and inhibitors in peritoneal tissue. APMIS
            days and following laparoscopy it was 5.81days.         1997;105:25-30.
                                                                20. Holmdhal L, Eriksson E, Eriksson BI, Risberg B. Depression of
            BIBLIOGRAPHY                                            peritoneal fibrinolysis during operation is a local response of
             1. Adams S, Wilson T, Brown AR. Laparoscopic management of  trauma. Surgery 1998;123:539-44.
                acture small bowel obstruction. Aust NZJ Surg 1993;63:39-41.  21. Ivarsson ML, Bergstrom M, Eriksson E, Risberg B, Holmdahl.
             2. Andreasen PA, Georg B, Lund LR, Riccio A, Stacey SN.  Tissue markers as predictors of postoperative adhesions. Br J
                Plaminogen activatorinhibitors: Hormonally regulated serpins.  Surg 1998;85:1549-54.
                Mol Cell Endocrinol 1990;68:1-19.               22. Ivarsson ML, Holmadhl L, Falk P, et al. Decreased fibrinolytic
             3. Badia Jm, Scoot-Coombes DN, Whawell SA, et al. Peritoneal  properties of mesothlial cells isolated from peritoneal lavage.
                and systemic cytokinc response to laparotomy. Br J Surg  Scand J Clin Lab Invent 1998;58:195-203.
                1996;83:347-48.                                 23. Ivarsson ML, Holmdahl L, Eriksson E, Soderberg R, Reisberg B.
             4. Bakkum EA, Emeis JJ, Dalmeijer RA, van Blitterswijk CA,  Expression and kinetics of fibronolytic components in plasma
                Trimbos JB,Trimbos-Kemper TC. Long-term analysis of  and peritoneum during abdominal surgery. Fibrinolytic
                peritoneal plasminogen activator activity and adhesion formation  1998;21:61-67.
            World Journal of Laparoscopic Surgery, January-April 2010;3(1):31-36                              35
   29   30   31   32   33   34   35   36   37   38   39