Cooke S A, Hamilton D G
Br J Surg. 1977 Jun;64(6):410-2. doi: 10.1002/bjs.1800640610.
The presence or absence of starch granulomas on the peritoneal surface or within peritoneal adhesions is reported in 20 patients subjected to a second laparotomy. Evidence is presented to show that starch granuloma formation is common in the early months following operation and that adhesions associated with starch granulomas cause intestinal obstruction. It is suggested that although starch is usually absorbed within 2 years, associated band adhesions may persist. Glove powder contamination of the peritoneal cavity may thus be a common cause of band adhesion obstruction.
对20例行二次剖腹手术的患者，报告了腹膜表面或腹膜粘连内淀粉肉芽肿的有无情况。有证据表明，淀粉肉芽肿形成在术后最初几个月很常见，且与淀粉肉芽肿相关的粘连会导致肠梗阻。有人提出，虽然淀粉通常在2年内被吸收，但相关的带状粘连可能会持续存在。因此，腹腔内手套粉末污染可能是带状粘连梗阻的常见原因。
