ISSN: 2148-4902 | E-ISSN: 2536-4553
Method of prevention of post-operative peritoneal adhesions [North Clin Istanb]
North Clin Istanb. 2023; 10(1): 33-39 | DOI: 10.14744/nci.2022.21347

Method of prevention of post-operative peritoneal adhesions

Chersi Gudiev1, Sergey Minaev2, Viktor Vasiliev3
1Department of Pediatrics, Pirogov Russian National Research Medical University, Moscow, Russia
2Department of Pediatric Surgery, Stavropol State Medical University of the Ministry of Health of the Russian Federation, Stavropol, Russia
3Pirogov Russian National Research Medical University, Candidate of Medical Sciences, Moscow, Russia

OBJECTIVE: The purpose of the research was to assess the performance of the method of prevention of post-operative peritoneal adhesions (PAs) (authorís method) in patients of different age groups.
METHODS: Two hundred eighty-five patients were in total enrolled in the study. The patients of two age groups were divided into two groups: Group 1 (treatment group), where the authorís method was used on 143 patients, and Group 2 (control group) 142 patients, where was used the standard approach of prevention of intra-abdominal adhesions. All patients were operated in an urgent order on adhesive intestinal obstruction (AIO). The patients previously had surgery on AIO one to 3 times. Within each group, sick children and adults were identified. The gender distribution was comparable in both groups.
RESULTS: The recurrence of AIO was significantly less in Group 1 than in Group 2 (1.4% and 6.3%, respectively, p<0.05). A separate study of the results of treatment in the age aspect in groups showed some features. Among children the AIO relapse rate in study Groups 1 and 2: Early AIO-in 1 (0.86%) and 2 (1.8%) patients, respectively; late AIO-in 1 (0.86%) and 4 (3.5%), patients, respectively. Among adults who didnít have relapse AIO during the follow-up period in Group 1. The AIO relapse rate in Group 2: Early AIO Ė in 1 (3.5%) and late AIO-2 (6.9%) patients, respectively.
CONCLUSION: The proposed authorís method for preventing AIO recurrence has shown its effectiveness among patients with adhesive AIO. Besides, using this method in children to reduce the AIO relapse rate by more than thrice; in adult patients, to prevent the development of clinically significant signs of PA and normalize the patientís quality of life. (NCI-2022-4-10)

Keywords: Adhesion, authorís method, innovation, peritoneal adhesions.

Chersi Gudiev, Sergey Minaev, Viktor Vasiliev. Method of prevention of post-operative peritoneal adhesions. North Clin Istanb. 2023; 10(1): 33-39

Corresponding Author: Chersi Gudiev
Manuscript Language: English
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