{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,6]],"date-time":"2024-08-06T00:13:45Z","timestamp":1722903225997},"reference-count":25,"publisher":"Akademiai Kiado Zrt.","issue":"4","license":[{"start":{"date-parts":[[2021,11,25]],"date-time":"2021-11-25T00:00:00Z","timestamp":1637798400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2021,11,25]]},"abstract":"<jats:p><jats:bold>\u00d6sszefoglal\u00f3.<\/jats:bold>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic> Ma m\u00e1r bizony\u00edt\u00e9kokra \u00e9p\u00fclt elv\u00e1r\u00e1s, hogy a hasi\n                    m\u0171t\u00e9tek sor\u00e1n az atraumatikus m\u0171t\u00e9ti technika, a pontos \u00e9s teljes\n                    v\u00e9rz\u00e9scsillap\u00edt\u00e1s, az idegen anyagok elt\u00e1vol\u00edt\u00e1sa mellett a peritonealis felsz\u00edn\n                    mechanikus k\u00e1rosod\u00e1s\u00e1t, kisz\u00e1rad\u00e1s\u00e1t is el kell ker\u00fclni. A hash\u00e1rtya kiterjedt\n                    felsz\u00edn\u00e9vel, k\u00fcl\u00f6nleges sz\u00f6veti szerkezet\u00e9vel nemcsak fontos szerepl\u0151je a\n                    norm\u00e1lis \u00e9lettani folyamatoknak, hanem mint a \u201ehas\u00fcreg \u0151re\u201d fontos szerephez jut\n                    a gyullad\u00e1sos folyamatok lokaliz\u00e1l\u00e1s\u00e1ban, dializ\u00e1l\u00f3 felsz\u00ednk\u00e9nt is hasznos, \u00e9s a\n                    daganatok kezel\u00e9s\u00e9ben teret ad a hipertermi\u00e1s has\u00fcregi kemoter\u00e1pi\u00e1nak.<\/jats:p>\n                <jats:p>A peritoneum-zs\u00e1k legnagyobb r\u00e9sze a vastag- \u00e9s a v\u00e9konybelet bor\u00edtja be. A\n                    posztoperat\u00edv sz\u00f6v\u0151dm\u00e9nyek elker\u00fcl\u00e9s\u00e9re mind a nyitott, mind a laparoszk\u00f3pos\n                    hasi m\u0171t\u00e9tek sor\u00e1n ker\u00fclend\u0151 a b\u00e9l\u00e1llom\u00e1ny kisz\u00e1rad\u00e1sa, \u00edgy a rehidr\u00e1l\u00e1s ma\n                    rutinelj\u00e1r\u00e1s. Ismeretes, hogy a b\u00e9l kisz\u00e1rad\u00e1sa posztoperat\u00edv adh\u00e9zi\u00f3k\n                    l\u00e9trej\u00f6tt\u00e9hez vezet, tov\u00e1bb\u00e1 a serosa k\u00e1rosod\u00e1ssal j\u00e1r, ez a b\u00e9lfal\n                    \u00e1tereszt\u00e9s\u00e9hez, perfor\u00e1ci\u00f3hoz is vezethet. Minden seb\u00e9szi aj\u00e1nl\u00e1s kiemeli a b\u00e9l\n                    nedvesen tart\u00e1s\u00e1nak fontoss\u00e1g\u00e1t, mik\u00f6zben az ezt a n\u00e9zetet t\u00e1mogat\u00f3, vagy ennek\n                    hi\u00e1ny\u00e1t elemz\u0151 kutat\u00e1s, val\u00f3s hat\u00e1svizsg\u00e1lat eleny\u00e9sz\u0151 a szakirodalomban.\n                    K\u00f6zlem\u00e9ny\u00fcnk \u00e1ttekinti e k\u00e9rd\u00e9sk\u00f6r k\u00f3r\u00e9lettani mechanizmusait \u00e9s seb\u00e9szi\n                    vonatkoz\u00e1sait, \u00f6sszefoglalja a peritoneum \u00f6sszetett funkci\u00f3ira vonatkoz\u00f3\n                    leg\u00fajabb kutat\u00e1sok eredm\u00e9nyeit.<\/jats:p>\n                <jats:p><jats:bold>Summary.<\/jats:bold>\n                    <jats:italic>Introduction:<\/jats:italic> Not only atraumatic surgical technique, precise\n                    bleeding control, removal foreign materials from the abdomen, but also avoiding\n                    desiccation or mechanical damage of peritoneal surface at abdominal surgery mean\n                    today evidence based expectation. Peritoneum with its extensive surface and\n                    special histological structure represents an important factor in normal\n                    physiological processes, furthermore as \u201cGuard of abdomen\u201d it has an important\n                    role to localise inflammatory reactions, useful as dialysing surface and\n                    provides also possibility for hyperthermic abdominal chemotherapy in tumour\n                    treatment.<\/jats:p>\n                <jats:p>Largest part of peritoneal sac covers small intestine and colon. To prevent\n                    postoperative complications it is necessary to avoid desiccation of intestinal\n                    tract at laparoscopic and at open procedures as well \u2013 consequently \u201crehyration\u201d\n                    is a routine recommendation today. Desiccation of intestinal tract results\n                    postoperative adhesions, furthermore damage of serosa will increase permeability\n                    of intestine wall and can result perforation. All the surgical recommendations\n                    suggest keeping intestine moist, whereas there are only a few real studies in\n                    surgical literature to support or to deny this theory. Our study reviews the\n                    pathophysiological and surgical respects of this situation and summarizes the\n                    results of latest researches of combined functions of peritoneum.<\/jats:p>","DOI":"10.1556\/1046.74.2021.4.7","type":"journal-article","created":{"date-parts":[[2023,1,10]],"date-time":"2023-01-10T09:30:47Z","timestamp":1673343047000},"page":"142-147","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":0,"title":["Peritoneum, a multifunkcion\u00e1lis h\u00e1rtya"],"prefix":"10.1556","volume":"74","author":[{"given":"Andrea","family":"Ferencz","sequence":"first","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, K\u00eds\u00e9rletes \u00e9s Seb\u00e9szeti M\u0171t\u00e9ttani Tansz\u00e9k, 1089 Budapest, Nagyv\u00e1rad t\u00e9r 4."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khashayar","family":"Farahnak","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, K\u00eds\u00e9rletes \u00e9s Seb\u00e9szeti M\u0171t\u00e9ttani Tansz\u00e9k, 1089 Budapest, Nagyv\u00e1rad t\u00e9r 4."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kriszti\u00e1n","family":"Bocskai","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, K\u00eds\u00e9rletes \u00e9s Seb\u00e9szeti M\u0171t\u00e9ttani Tansz\u00e9k, 1089 Budapest, Nagyv\u00e1rad t\u00e9r 4."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krisztina","family":"Juhos","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, K\u00eds\u00e9rletes \u00e9s Seb\u00e9szeti M\u0171t\u00e9ttani Tansz\u00e9k, 1089 Budapest, Nagyv\u00e1rad t\u00e9r 4."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniella","family":"Feh\u00e9r","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, K\u00eds\u00e9rletes \u00e9s Seb\u00e9szeti M\u0171t\u00e9ttani Tansz\u00e9k, 1089 Budapest, Nagyv\u00e1rad t\u00e9r 4."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Domokos","family":"Csuk\u00e1s","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, K\u00eds\u00e9rletes \u00e9s Seb\u00e9szeti M\u0171t\u00e9ttani Tansz\u00e9k, 1089 Budapest, Nagyv\u00e1rad t\u00e9r 4."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Bl\u00e1zovics","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, K\u00eds\u00e9rletes \u00e9s Seb\u00e9szeti M\u0171t\u00e9ttani Tansz\u00e9k, 1089 Budapest, Nagyv\u00e1rad t\u00e9r 4."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gy\u00f6rgyi","family":"Szab\u00f3","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, K\u00eds\u00e9rletes \u00e9s Seb\u00e9szeti M\u0171t\u00e9ttani Tansz\u00e9k, 1089 Budapest, Nagyv\u00e1rad t\u00e9r 4."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f3zsef","family":"S\u00e1ndor","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika, K\u00eds\u00e9rletes \u00e9s Seb\u00e9szeti M\u0171t\u00e9ttani Tansz\u00e9k, 1089 Budapest, Nagyv\u00e1rad t\u00e9r 4."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","unstructured":"1 Kiss J: Gasztroenterol\u00f3giai seb\u00e9szet. 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