Acta Scientific Clinical Case Reports

Research ArticleVolume 3 Issue 4

Prognosis of the Development of Abdominal Adhesions After Appendectomy

PM Lavreshin1, VP Glabai2, VK Gobedzhishvili2, SS Korablina1*, VV Gobedzhishvili1 and EV Kochkarov1

1Stavropol State Medical University, Stavropol, Russian Federation
2Sechenov First Moscow State Medical University, Moscow, Russian Federation
3Stavropolsky Antiplague Scientific Research Institute of Rospotrebnadzor, Stavropol, Russian Federation

*Corresponding Author: SS Korablina, Stavropol State Medical University, Stavropol, Russian Federation.

Received: February 25, 2022; Published: March 11, 2022

Abstract

A comparison of several parameters in 53 operated patients with abdominal adhesions and 53 patients without abdominal adhesions was made to elaborate prognostic criteria for the development of abdominal adhesions in patients after appendectomy. Considering the informative value of the criteria including obesity, acetylation status, propensity for excessive scarring, appendix location, allergy, gastrointestinal disorders, absence of connective tissue dysplasia syndrome (CTDS), they shall be considered risk factors favoring the development of postoperative abdominal adhesions in patients with acute appendicitis (AA). Results of surgical treatment in 360 patients with acute appendicitis have been presented. Group 1 (Control 1) included 120 patients who received standard treatment. Group 2 (Control 2) comprised 120 patients who underwent laparoscopic appendectomy. Group 3 (Main) included 120 patients whom laparotomy appendectomy as fast-track surgery was offered. Anti-adhesion therapy in high-risk patients allowed to reduce potential development of abdominal adhesions by 3.9 times, i.e. from 34.5% to 8.8%. A multimodality approach to treat patients with acute appendicitis resulted in a 3.23-time reduction of postoperative adhesion formation process compared to open appendectomy, and a 1.75-time reduction for laparoscopic approach.

Keywords: Acute Appendicitis; Prognosis; Prevention; Abdominal Adhesions

Bibliography

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Citation: SS Korablina., et al. “Prognosis of the Development of Abdominal Adhesions After Appendectomy". Acta Scientific Clinical Case Reports 3.4 (2022): 30-36.

Copyright: © 2022 SS Korablina., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



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