Peritoneal adhesion index (PAI): proposal of a score for the “ignored iceberg” of medicine and surgery

World Journal of Emergency Surgery

Fausto Catena³  Michele Pisano²  Daniel Lazzareschi²  Michele Cucchi³  Salomone Di Saverio⁴  Massimo Sartelli¹  Michela Giulii Capponi²  Paolo Bertoli²  Elia Poiasina²  Luca Campanati²  Roberto Manfredi²  Luca Ansaloni²  Federico Coccolini² 

[1] General Surgery department, Macerata Hospital, Macerata, Italy;General and Emergency Surgery department, Papa Giovanni XXIII hospital, Piazza OMS-Organizzazione Mondiale della Sanità 1, 24128, Bergamo, Italy;General and Emergency Surgery department, Ospedale Maggiore, Parma, Italy;General and Trauma Surgery department, Maggiore Hospital, Bologna, Italy

关键词: Prevention;    Treatment;    Surgery;    Occlusion;    Abdominal;    Peritoneal;    PAI;    Classification;    Adhesions;   

Others  :  792054
DOI  :  10.1186/1749-7922-8-6

 received in 2012-07-17, accepted in 2013-01-29,  发布年份 2013

【 摘 要 】

Peritoneal adhesions describe a condition in which pathological bonds form between the omentum, the small and large bowels, the abdominal wall, and other intra-abdominal organs. Different classification systems have been proposed, but they do not resolve the underlying problem of ambiguity in the quantification and definition of adhesions. We therefore propose a standardized classification system of adhesions to universalize their definition based on the macroscopic appearance of adhesions and their diffusion to different regions of the abdomen. By scoring with these criteria, the peritoneal adhesion index (PAI) can range from 0 to 30, unambiguously specifying precise adhesion scenarios. The standardized classification and quantification of adhesions would enable different studies to more meaningfully integrate their results, thereby facilitating a more comprehensive approach to the treatment and management of this pathology.

【 授权许可】

   
2013 Coccolini et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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