Foreign bodies and intraperitoneal post-operative adhesions.
The presence of foreign bodies is one of the recognized causes of fibrous bands and intraperitoneal post-operative adhesions. The objective of this study was to identify foreign bodies actually present in fibrous bands and intraperitoneal post-operative adhesions. From a series of 211 consecutive patients re-laparotomized by the same surgeon over a period of two years, 193 (91%) showed fibrous bands or adhesions; of these, 133 (69%) also showed reactions to foreign bodies. Comparison with a reference list established in animal work showed than in 127 (66%) of the cases the foreign bodies were of cellulose textile origin; in 3% of the cases, they were of diverse origin--starch powder, synthetic textiles, sutures, or unidentifiable particles.
Duron
J J
JJ
Department of General Surgery, Service de Chirurgie Digestive, La Pitié, Paris, France.
Olivier
L
L
D000818:Animals; D005260:Female; D015745:Granuloma, Foreign-Body / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010532:Peritoneal Diseases / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*; D011208:Powders; D051381:Rats; D017208:Rats, Wistar; D015503:Surgical Sponges; D013537:Sutures; D000267:Tissue Adhesions / Q000209:etiology