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December 1952


Author Affiliations


AMA Arch Surg. 1952;65(6):854-855. doi:10.1001/archsurg.1952.01260020848008

INTRAPERITONEAL adhesions, with the always consequent danger of obstruction, may result from any destruction of the serosal surface in which the parietal or visceral peritoneum may adhere to an opposite surface. Without doubt, the greatest cause of intraperitoneal adhesions is the denudation of the peritoneal surface during surgical procedures. Any process, therefore, that cuts down damage to the thin peritoneal layer should result in less inflammatory reaction and fewer adhesions.

Customary abdominal packing during abdominal surgical procedures is done with heavy gauze packing. Careful inspection of the bowel after a gauze pack has been against it for a period of time will reveal a dullness of the surface and an impression of the gauze interstices into the serosal wall and a mild inflammatory reaction. In an attempt to prevent this irritation, a new type of abdominal packing has been sought. The material which most ideally fitted this situation is polyethylene