[Special aspects of abdominal adhesions in children].

Abstract

Relaparotomy in children was necessary in 2.6% of 4902 cases because of adhesions (80% within 2 years). Adhesions can be differentiated histologically by the number of blood vessels. In the highly vascular adhesions arteries and veins are united in a common cord of connective tissue. Whereas the less vascular characteristically have a dense connective tissue rich in collagen. The number of capillaries distributed within the connective tissue varies. Some adhesions have a mixed tissue type of both tissues rich and poor in blood vessels. All adhesions are peripherally delimited by a different number of fibrous layers.