It seems to be an accepted fact that intestinal adhesions may occur after any abdominal operation. We recognize bacterial invasion, trauma, blood clot and irritation of the peritoneum as the causes of intestinal adhesions. We are unable to control bacterial invasion due to disease. Modern operative technic is able to prevent the contact invasion of bacteria from stumps and diseased areas to a certain extent. Trauma to the intestines may be minimized by following the best possible technic. We have left, then, irritation to the peritoneal coats of the intestine, which so often accompanies operation, as the element of danger which should be eliminated. The prevention of injury to normal organs lying adjacent to the field of operation is the phase of the subject which I desire to bring before you.
Intestinal adhesions may or may not cause serious symptoms. It is not always possible to draw positive conclusions
BRINSMADE WB. INTESTINAL ADHESIONS: BOWEL PROTECTION. JAMA. 1915;LXV(11):920–924. doi:10.1001/jama.1915.02580110006002
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