Postoperatif peritoneal yapışıklıkların oluşumu ve klinik önemi

Öz

Abdominopelvik cerrahi sonrası oluşan karın içi yapışıklıkların, erken ve geç postoperatif devrede mortalite ve morbidite artışına neden oldukları bilinen bir gerçektir. Karın içi yapışıklıkların, periton veya barsağın serozal yüzeyine travma, yabancı cisim reaksiyonu ve iskemi sonucunda geliştiğine inanılmaktadır. Bu makalede postoperatif peritoneal yapışıklıkların oluşumu ve klinik önemi literatür bilgileri eşliğinde tartışılmıştır.

Anahtar Kelimeler

• Operasyon sonrası, peritoneal yapışıklıklar, patogenez, önleme

Formation and clinical importance of postoperative peritoneal adhesions

Abstract

Abdominal adhesions following abdominopelvic surgical interventions are well-known causes of increased morbidity and mortality at early and late postoperative period. It is suggested that intraabdominal adhesions are thought to be developed secondary to peritoneal or bowel serosal surface trauma, foreign body reaction and ischemia. In present study, development and clinical importance of postoperative peritoneal adhesions are discussed together with literature knowledge.

Keywords

• Postoperative, peritoneal adhesions, pathogenesis, prevention

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