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...

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Main Authors: 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
Format: Article
Language:English
Published: BMC 2013-01-01
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>
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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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