Bordoni Bruno, Escher Allan R, Girgenti Gregory T
Physical Medicine and Rehabilitation, Don Carlo Gnocchi Foundation, Milan, ITA.
Anesthesiology/Pain Medicine, H. Lee Moffitt Cancer Center and Research Institute, Tampa, USA.
Cureus. 2023 Jul 26;15(7):e42472. doi: 10.7759/cureus.42472. eCollection 2023 Jul.
Peritoneal adhesions form as a result of trauma to the abdomen, injuries resulting from surgery, and infections. These tissutal neoformations are innervated and vascularized, and with lymphatic vessels, adherence becomes a new and independent structure, capable of negatively influencing visceral functions. Adherent neogenesis can be asymptomatic or can be a source of pain, limiting the patient's quality of life. Although adhesiolysis remains the elective approach to eliminate adhesions, this therapeutic route prepares the peritoneal anatomical area to recur. The article reviews information on adhesion formation and peritoneal anatomy, probable subjective predispositions, and pathways that carry nociception. The text aims to be a theoretical basis for making new treatment suggestions for non-invasive osteopathic medicine, through a second part will be discussed in another article.
腹膜粘连是由腹部创伤、手术损伤和感染引起的。这些组织新生物有神经支配和血管供应，并通过淋巴管，粘连成为一个新的独立结构，能够对内脏功能产生负面影响。粘连新生可能无症状，也可能是疼痛的来源，限制患者的生活质量。尽管粘连松解术仍然是消除粘连的首选方法，但这种治疗途径会使腹膜解剖区域易于复发。本文回顾了有关粘连形成和腹膜解剖、可能的主观易患因素以及传导伤害感受的途径的信息。本文旨在为无创整骨医学提出新的治疗建议提供理论基础，第二部分将在另一篇文章中讨论。
