PDF(Pubmed)
Abstract：
Introduction Post-operative adhesions present a number of difficulties, including intestinal obstruction and infertility, and they frequently require readmission due to adhesion-related problems. Notwithstanding these ramifications, there are surprisingly few thorough national surveys that address surgeons\' awareness of adhesives. By assessing Saudi surgeons\' knowledge of post-operative adhesions and their use of anti-adhesive medications, this study aims to close this knowledge gap. Methods This study is a cross-sectional observational research study aimed at Saudi Arabian surgeons utilizing a self-administered, semi-structured online questionnaire. The questionnaire was distributed to participants via social media and in-person email using basic random selection. It included adhesion morbidity and prevalence, pre-operative informed consent issues, adhesion preventive viewpoints, and anti-adhesive chemical use. Results There were 111 participants in total, of 41% were experienced surgeons with more than five years of experience. According to the survey, the majority of surgeons occasionally employed anti-adhesive compounds, especially during laparotomies (28%), and 38% never used them during laparoscopies. The study found that participants varied in what they informed patients regarding adhesion complications: 25% of participants informed 5%-10% of the patients about the possible adhesion complications in laparotomy procedures, whereas 26% of participants informed 10-25% of the patients in laparoscopic procedures. Compared with their specialist peers, general surgeons agreed more on the clinical significance of adhesions and prevention. Notably, three-quarters of participants were unclear about when to use anti-adhesive compounds. Conclusion While acknowledging the clinical significance of post-operative adhesions and recognizing the potential for prevention, most surveyed surgeons did not include adhesions as a post-operative complication in informed consent. The study underscores a belief in the efficacy of anti-adhesives yet reveals a widespread lack of clarity regarding specific indications for their use. Recommendations include implementing educational sessions during surgical training to heighten awareness of adhesions as a major post-operative complication and to encourage the appropriate utilization of available barriers and pharmacological anti-adhesive products.
摘要：
引言术后粘连存在许多困难，包括肠梗阻和不孕症，由于与粘连相关的问题，他们经常需要重新入院。尽管有这些后果，令人惊讶的是，很少有彻底的全国性调查能解决外科医生对粘合剂的认识。通过评估沙特外科医生术后粘连的知识及其使用抗粘连药物，这项研究旨在缩小这一知识差距。方法本研究是一项横断面观察性研究，针对沙特阿拉伯的外科医生，半结构化在线问卷。问卷通过社交媒体和使用基本随机选择的当面电子邮件分发给参与者。它包括粘连的发病率和患病率，术前知情同意问题，粘连预防观点，和抗粘合化学用途。结果共有111名参与者,41%的人是经验丰富的外科医生，有五年以上的经验。根据调查,大多数外科医生偶尔会使用抗粘连化合物，尤其是在开腹手术中（28%），38％的人在腹腔镜检查时从未使用过它们。研究发现，参与者在告知患者有关粘连并发症的信息方面有所不同：25％的参与者向5％-10％的患者告知了剖腹手术中可能的粘连并发症，而26%的参与者告知10-25%的患者在腹腔镜手术中。与他们的专家同行相比，普通外科医生对粘连和预防的临床意义达成了更多共识。值得注意的是,四分之三的参与者不清楚何时使用抗粘连化合物.结论在承认术后粘连的临床意义并认识到预防的潜力的同时，大多数接受调查的外科医生在知情同意中没有将粘连作为术后并发症.该研究强调了对抗粘合剂功效的信念，但揭示了其使用的具体适应症普遍缺乏清晰度。建议包括在手术培训期间实施教育课程，以提高对粘连作为术后主要并发症的认识，并鼓励适当利用可用的屏障和药物抗粘连产品。
