{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:33:48Z","timestamp":1777448028582,"version":"3.51.4"},"reference-count":5,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2024,6,17]],"date-time":"2024-06-17T00:00:00Z","timestamp":1718582400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:p>Peritoneal adhesion is a common cause of small bowel obstruction (SBO). In this study, we included 40 adult patients who had SBO, or partial obstructive symptoms. In the abdominal instillation of crystalloid fluid (AICF) cohort, 16 patients underwent lysis of adhesions and abdominal crystalloid fluid instillation at the end of the procedure. In the control (CO) group, 24 patients received lysis of adhesions without fluid instillation. AICF was achieved by the abdominal instillation of 1864 \u00b1 97.5\u00a0mL of crystalloid fluid. We analyzed the recurrence of peritoneal adhesions resulting in reoperation for SBO within the 64.3 \u00b1 9.15 months of follow-up time for the CO and the 70.5 \u00b1 13.16-month follow-up for the AICF group. The AICF group had a lower SBO recurrence rate of 12.5% compared to the CO group\u2019s 41.6% rate ( P = .049). Taken together, AICF decreased the recurrence of SBO requiring reoperation secondary to adhesion formation compared to the lysis of adhesions alone, as seen in the CO group.<\/jats:p>","DOI":"10.1177\/00031348241262426","type":"journal-article","created":{"date-parts":[[2024,6,17]],"date-time":"2024-06-17T10:58:48Z","timestamp":1718621928000},"page":"3148-3150","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Abdominal Instillation of Crystalloid Fluid Decreases the Recurrence of Adhesive Small Bowel Obstruction"],"prefix":"10.1177","volume":"90","author":[{"given":"Zoltan H.","family":"Nemeth","sequence":"first","affiliation":[{"name":"Department of Surgery, Morristown Medical Center, Morristown, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph S.","family":"Flanagan","sequence":"additional","affiliation":[{"name":"Department of Surgery, Morristown Medical Center, Morristown, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia B.","family":"Stopper","sequence":"additional","affiliation":[{"name":"Department of Surgery, Morristown Medical Center, Morristown, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rolando H.","family":"Rolandelli","sequence":"additional","affiliation":[{"name":"Department of Surgery, Morristown Medical Center, Morristown, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,6,17]]},"reference":[{"key":"bibr1-00031348241262426","doi-asserted-by":"publisher","DOI":"10.1016\/S1072-7515(97)00127-0"},{"issue":"7","key":"bibr2-00031348241262426","first-page":"537","volume":"36","author":"Rose BI1","year":"1991","journal-title":"J Reprod Med"},{"key":"bibr3-00031348241262426","first-page":"CD001298","volume":"7","author":"Ahmad G","year":"2014","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"bibr4-00031348241262426","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2014.09.002"},{"key":"bibr5-00031348241262426","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2018.12.014"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348241262426","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348241262426","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348241262426","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:36:42Z","timestamp":1777379802000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348241262426"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,17]]},"references-count":5,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1177\/00031348241262426"],"URL":"https:\/\/doi.org\/10.1177\/00031348241262426","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,17]]}}}