Surgical treatment for idiopathic abdominal cocoon / 中华外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To investigate diagnosis and treatment of abdominal cocoon.</p><p><b>METHODS</b>Clinical data of patients received treatment for abdominal cocoon from January 2000 to January 2011 was retrospectively analyzed.</p><p><b>RESULTS</b>A total of 67 patients underwent treatment in our hospital were analyzed, the preoperatively diagnosis rate was only 47.8% (32/67). Patients who received preoperatively nutrition support have a lower postoperative complication (8/27 vs.13/20, χ(2) = 5.815, P < 0.05) and patients with less extent of intestine involved had a lower early postoperative inflammatory ileus (EPII) rate (9/25 vs. 1/22, χ(2) = 6.912, P < 0.05) when compared with large extent.</p><p><b>CONCLUSIONS</b>Appropriate perioperative management play an important role in the prognosis of abdominal cocoon. The main treatment is surgery while preoperatively nutrition support can reduce postoperative complications.</p>