Henry Ford Hospital Medical Journal


This study documented the fact that recurrent episodes of small bowel obstruction were not uncommon (38%) in a review of 120 patients who underwent lysis of adhesions or lysis of adhesions and Noble Plication. A laboratory experiment using dogs was constructed to compare dextran to a combined promethazine-dexamethasone regimen for the prevention of adhesion formation in the immediate post-operative period. Dextran was completely ineffective in preventing adhesion reformation. Meticulous surgical technique remains the single most important factor in adhesion prevention.