Peritoneal adhesion index (PAI): proposal of a score for the “ignored iceberg” of medicine and surgery
<p>Abstract</p> <p>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 unde...
Main Authors: | , , , , , , , , , , , , |
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Format: | Article |
Language: | English |
Published: |
BMC
2013-01-01
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Series: | World Journal of Emergency Surgery |
Subjects: | |
Online Access: | http://www.wjes.org/content/8/1/6 |
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author | Coccolini Federico Ansaloni Luca Manfredi Roberto Campanati Luca Poiasina Elia Bertoli Paolo Capponi Michela Giulii Sartelli Massimo Saverio Salomone Di Cucchi Michele Lazzareschi Daniel Pisano Michele Catena Fausto |
author_facet | Coccolini Federico Ansaloni Luca Manfredi Roberto Campanati Luca Poiasina Elia Bertoli Paolo Capponi Michela Giulii Sartelli Massimo Saverio Salomone Di Cucchi Michele Lazzareschi Daniel Pisano Michele Catena Fausto |
author_sort | Coccolini Federico |
collection | DOAJ |
description | <p>Abstract</p> <p>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.</p> |
first_indexed | 2024-12-21T22:00:24Z |
format | Article |
id | doaj.art-65ef72fde49d49f29408419785342285 |
institution | Directory Open Access Journal |
issn | 1749-7922 |
language | English |
last_indexed | 2024-12-21T22:00:24Z |
publishDate | 2013-01-01 |
publisher | BMC |
record_format | Article |
series | World Journal of Emergency Surgery |
spelling | doaj.art-65ef72fde49d49f294084197853422852022-12-21T18:48:50ZengBMCWorld Journal of Emergency Surgery1749-79222013-01-0181610.1186/1749-7922-8-6Peritoneal adhesion index (PAI): proposal of a score for the “ignored iceberg” of medicine and surgeryCoccolini FedericoAnsaloni LucaManfredi RobertoCampanati LucaPoiasina EliaBertoli PaoloCapponi Michela GiuliiSartelli MassimoSaverio Salomone DiCucchi MicheleLazzareschi DanielPisano MicheleCatena Fausto<p>Abstract</p> <p>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.</p>http://www.wjes.org/content/8/1/6AdhesionsClassificationPAIPeritonealAbdominalOcclusionSurgeryTreatmentPrevention |
spellingShingle | Coccolini Federico Ansaloni Luca Manfredi Roberto Campanati Luca Poiasina Elia Bertoli Paolo Capponi Michela Giulii Sartelli Massimo Saverio Salomone Di Cucchi Michele Lazzareschi Daniel Pisano Michele Catena Fausto Peritoneal adhesion index (PAI): proposal of a score for the “ignored iceberg” of medicine and surgery World Journal of Emergency Surgery Adhesions Classification PAI Peritoneal Abdominal Occlusion Surgery Treatment Prevention |
title | Peritoneal adhesion index (PAI): proposal of a score for the “ignored iceberg” of medicine and surgery |
title_full | Peritoneal adhesion index (PAI): proposal of a score for the “ignored iceberg” of medicine and surgery |
title_fullStr | Peritoneal adhesion index (PAI): proposal of a score for the “ignored iceberg” of medicine and surgery |
title_full_unstemmed | Peritoneal adhesion index (PAI): proposal of a score for the “ignored iceberg” of medicine and surgery |
title_short | Peritoneal adhesion index (PAI): proposal of a score for the “ignored iceberg” of medicine and surgery |
title_sort | peritoneal adhesion index pai proposal of a score for the ignored iceberg of medicine and surgery |
topic | Adhesions Classification PAI Peritoneal Abdominal Occlusion Surgery Treatment Prevention |
url | http://www.wjes.org/content/8/1/6 |
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