INTRA-ABDOMINAL ADHESIONS

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Abstract
The formation of adhesions in the abdomen is a necessary reaction between apposing serous membranes, localizing bacterial invasion and limiting the effect of trauma. Where serous membrane is lacking, a far higher mortality prevails if the abdomen is invaded by infection or is subjected to trauma; therefore, surgical approach in the abdomen should and often is initiated by artificial stimulation of localizing adhesions, as in operations on the pharynx and the esophagus. Persistence of adhesions after the protective phase is passed, especially in structures that depend on the anatomic lumen, may become disastrous, as in the cerebrospinal system and in the gastro-intestinal or the genito-urinary structures. Harassing adhesions follow especially infections of the intra-abdominal viscera or trauma. Ever since intra-abdominal operative procedures became the method of choice in dealing with infections and trauma of the peritoneal cavity, the surgeon has observed that a seemingly successful treatment often results in persistent

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