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Research Articles Issue 1 · 2018 · pp. 119–131 · Issue page

BLUNT ABDOMINAL TRAUMA AND PERITONEAL ADHESIONS

SI
Simona BOBIC1
FL
Florian POPA2
BO
Bogdan SOCEA3
AL
Alexandru CARẬP4
DR
Dragoş DAVIȚOIU5
VL
Vlad Denis CONSTANTIN6
1 MD, PhD student, ”Carol Davila” University of Medicine and Pharmacy, ”Sfântul Pantelimon” Emergency Clinical Hospital, Bucharest, Romania
2 MD, Professor, ”Carol Davila” University of Medicine and Pharmacy, ”Sfântul Pantelimon” Emergency Clinical Hospital, Bucharest, Romania
3 MD, Assistant professor, ”Carol Davila” University of Medicine and Pharmacy, ”Sfântul Pantelimon” Emergency Clinical Hospital, Bucharest, Romania
4 MD, Assistant lecturer, ”Carol Davila” University of Medicine and Pharmacy, ”Sfântul Pantelimon” Emergency Clinical Hospital, Bucharest, Romania
5 MD, Assistant professor, ”Carol Davila” University of Medicine and Pharmacy, ”Sfântul Pantelimon” Emergency Clinical Hospital, Bucharest, Romania
6 MD, Professor, ”Carol Davila” University of Medicine and Pharmacy, ”Sfântul Pantelimon” Emergency Clinical Hospital, Bucharest, Romania
Corresponding author: [email protected]
Accepted 28 March 2026
Available Online 15 March 2018
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.
Keywords
INTRAABDOMINAL ADHESIONS BLUNT TRAUMA COMPLICATIONS PREVENTION
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