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- W2024797785 abstract "Intra-abdominal adhesions form when the serosa of two adjacent peritoneal surfaces are denuded and remain in contact for a sufficient time for an exudate to become organized and adherent to the two surfaces. Distention of bowel with pressure exerted continuously between two adjacent intra-abdominal visceral surfaces is an active means toward such a union. The organic base lanolin was chosen as a means of separating the opposing serosal surfaces and as a preventative of adhesive formations because of its marked adhesive and nonirritating properties. Boric acid was used because it is not irritating and has a certain low antiseptic value. Two hundred ninety patients, in whom adhesive formations were found to be the principal pathological change present in the abdomen, were treated; of these, it was possible in 181 cases to obtain reports (follow-up records) of from one to twenty years after operation. One hundred thirtysix of the 181 patients were entirely free of the symptoms for which they had been operated, thirty-seven were improved and three were not improved. The five deaths which had occurred in the 290 patients operated were not in any way contingent upon the use of the lanolin paste. We are well satisfied that an ointment of lanolin (95 per cent) and boric acid (5 per cent) has proved of value in preventing intra-abdominal adhesions." @default.
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- W2024797785 date "1942-10-01" @default.
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- W2024797785 title "Intra-abdominal adhesions" @default.
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- W2024797785 doi "https://doi.org/10.1016/s0002-9610(42)90742-6" @default.
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