THE RATING SCALE FOR THE SEVERITY OF ABDOMINAL ADHESIONS

A retrospective analysis of 154 case histories of patients with adhesive disease of the abdominal cavity complicated by intestinal obstruction was carried out. The following data were taken into account in the analysis: age, sex, history of operations, availability of hospitalizations and operations...

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Autores principales:	N. I. Ayushinova, I. A. Shurygina, E. G. Grigoriev
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2017
Materias:	adhesions abdominal cavity scale severity of adhesive process Science Q
Acceso en línea:	https://doaj.org/article/ebe3285028b146e985f074ff8605e2e2
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spelling	oai:doaj.org-article:ebe3285028b146e985f074ff8605e2e22021-11-23T06:14:39ZTHE RATING SCALE FOR THE SEVERITY OF ABDOMINAL ADHESIONS2541-94202587-959610.12737/article_5a0a891f132b26.07816727https://doaj.org/article/ebe3285028b146e985f074ff8605e2e22017-11-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/476https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596A retrospective analysis of 154 case histories of patients with adhesive disease of the abdominal cavity complicated by intestinal obstruction was carried out. The following data were taken into account in the analysis: age, sex, history of operations, availability of hospitalizations and operations for adhesions, their number, methods of treatment, intraoperative evaluation of the adhesion process, the outcome of the hospitalization. For an objective assessment of the severity of the adhesive process, we developed a scale for assessing the degree of adhesive process in the abdominal cavity, which takes into account not only the number and location of adhesions in the abdominal cavity, but also the structure of adhesions, the presence or absence of vascularization, and the presence of deformation of the intestinal tube. The degree of adhesion in the operated patients made 13 points, which corresponds to the pronounced adhesion of the abdominal cavity organs. Mortality rate was 10 %. In patients died from complications, the degree of adhesive process made 14 points. The first signs of adhesion of the abdominal organs appeared 3 years after the operation. And the number of operations for acute intestinal obstruction to the recurrence was 0.27. Spearman's correlation analysis revealed an average significant correspondence between the degree of adhesion and the outcome of treatment. A reliable correspondence between the likelihood of postoperative complications and the severity of the adhesion process was also revealed. A pronounced adhesion process in the abdominal cavity suggests a significant likelihood of repeated operations for adhesions. Thus, the proposed scale is an objective method for evaluating the adhesion process in the abdominal cavity and makes it possible to assume the probability of postoperative complications and relapse of adhesive intestinal obstruction.N. I. AyushinovaI. A. ShuryginaE. G. GrigorievScientific Сentre for Family Health and Human Reproduction Problemsarticleadhesionsabdominal cavityscaleseverity of adhesive processScienceQRUActa Biomedica Scientifica, Vol 2, Iss 6, Pp 96-99 (2017)
institution	DOAJ
collection	DOAJ
language	RU
topic	adhesions abdominal cavity scale severity of adhesive process Science Q
spellingShingle	adhesions abdominal cavity scale severity of adhesive process Science Q N. I. Ayushinova I. A. Shurygina E. G. Grigoriev THE RATING SCALE FOR THE SEVERITY OF ABDOMINAL ADHESIONS
description	A retrospective analysis of 154 case histories of patients with adhesive disease of the abdominal cavity complicated by intestinal obstruction was carried out. The following data were taken into account in the analysis: age, sex, history of operations, availability of hospitalizations and operations for adhesions, their number, methods of treatment, intraoperative evaluation of the adhesion process, the outcome of the hospitalization. For an objective assessment of the severity of the adhesive process, we developed a scale for assessing the degree of adhesive process in the abdominal cavity, which takes into account not only the number and location of adhesions in the abdominal cavity, but also the structure of adhesions, the presence or absence of vascularization, and the presence of deformation of the intestinal tube. The degree of adhesion in the operated patients made 13 points, which corresponds to the pronounced adhesion of the abdominal cavity organs. Mortality rate was 10 %. In patients died from complications, the degree of adhesive process made 14 points. The first signs of adhesion of the abdominal organs appeared 3 years after the operation. And the number of operations for acute intestinal obstruction to the recurrence was 0.27. Spearman's correlation analysis revealed an average significant correspondence between the degree of adhesion and the outcome of treatment. A reliable correspondence between the likelihood of postoperative complications and the severity of the adhesion process was also revealed. A pronounced adhesion process in the abdominal cavity suggests a significant likelihood of repeated operations for adhesions. Thus, the proposed scale is an objective method for evaluating the adhesion process in the abdominal cavity and makes it possible to assume the probability of postoperative complications and relapse of adhesive intestinal obstruction.
format	article
author	N. I. Ayushinova I. A. Shurygina E. G. Grigoriev
author_facet	N. I. Ayushinova I. A. Shurygina E. G. Grigoriev
author_sort	N. I. Ayushinova
title	THE RATING SCALE FOR THE SEVERITY OF ABDOMINAL ADHESIONS
title_short	THE RATING SCALE FOR THE SEVERITY OF ABDOMINAL ADHESIONS
title_full	THE RATING SCALE FOR THE SEVERITY OF ABDOMINAL ADHESIONS
title_fullStr	THE RATING SCALE FOR THE SEVERITY OF ABDOMINAL ADHESIONS
title_full_unstemmed	THE RATING SCALE FOR THE SEVERITY OF ABDOMINAL ADHESIONS
title_sort	rating scale for the severity of abdominal adhesions
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2017
url	https://doaj.org/article/ebe3285028b146e985f074ff8605e2e2
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THE RATING SCALE FOR THE SEVERITY OF ABDOMINAL ADHESIONS

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