title: [Intestinal obstruction secondary to postoperative adhesion formation in abdominal surgery. Review].
abstract: The development of intestinal obstruction after upper and lower abdominal surgery is part of the daily life of each every surgeon. Despite this, there are very few good quality studies that allow enable assessment of the frequency of intestinal obstruction to be assessed, even although postoperative adhesions are the cause of considerable direct and indirect morbidity and its prevention can be considered a public health problem. And yet, in Mexico, at this time, there is no validated recommendation validated on the prevention of adhesions, or more particularly, in connection with the use of a variety of anti-adhesion commercial products which have been marketed for at least a decade. Intraperitoneal adhesions develop between surfaces without peritoneum of the abdominal organs, mesentery, and abdominal wall. The most common site of adhesions is between the greater omentum and anterior abdominal wall previous. Despite the frequency of adhesions and their direct and indirect consequences, just there is only one published a recommendation (from gynaecological literature), regarding peritoneal adhesion prevention. As regards of colorectal surgery, performed more than 250,000 colorectal resections are performed annually in the United States, and from 24% to 35% of them will develop a complication. The clinical and economic financial burden of these complications is enormous, and surgeries colorectal surgery been specifically highlighted as a potential point prevention point of surgical morbidity.
authors.affiliation: Dirección de Cirugía, Hospital y Fundación Clinica Médica Sur, México, D.F., México. Electronic address: jcorrea@medicasur.org.mx.
authors.forename: José Manuel
authors.initials: JM
authors.lastname: Correa-Rovelo
authors.affiliation: Departamento de Investigación y Posgrado, Escuela Superior de Medicina IPN, México, D.F., México.
authors.forename: Guadalupe Cleva
authors.initials: GC
authors.lastname: Villanueva-López
authors.affiliation: Departamento de Investigación y Posgrado, Escuela Superior de Medicina IPN, México, D.F., México.
authors.forename: Roberto
authors.initials: R
authors.lastname: Medina-Santillan
authors.affiliation: Unidad de Cuidados Intensivos, Hospital y Fundación Clinica Médica Sur, México, D.F., México.
authors.forename: Raúl
authors.initials: R
authors.lastname: Carrillo-Esper
authors.affiliation: Residente de Cirugía Genral, Facultad Mexicana de Medicina, Universidad La Salle, México, D.F., México.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Díaz-Girón-Gidi
mesh_terms: D013505:Digestive System Surgical Procedures; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D010532:Peritoneal Diseases / Q000150:complications*; D000267:Tissue Adhesions / Q000150:complications
keywords: Adherencias postoperatorias; Bowel obstruction; Cirugía colorrectal; Colorectal surgery; Complicaciones; Complications; Obstrucción intestinal; Postoperative adhesions; Prevención; Prevention