Duron J J, Olivier L
Department of General Surgery, Service de Chirurgie Digestive, La Pitié, Paris, France.
J Long Term Eff Med Implants. 1997;7(3-4):235-42.
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.
异物的存在是公认的导致纤维带和腹腔术后粘连的原因之一。本研究的目的是确定实际存在于纤维带和腹腔术后粘连中的异物。在两年时间里，同一位外科医生对211例连续患者进行了再次剖腹手术，其中193例（91%）出现了纤维带或粘连；在这些患者中，133例（69%）还表现出对异物的反应。与动物实验中建立的参考列表进行比较发现，在127例（66%）病例中，异物来源于纤维素纺织品；在3%的病例中，它们来源多样——淀粉粉末、合成纺织品、缝线或无法识别的颗粒。
