We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Prevention of Experimental Peritoneal Adhesions by Dextran

Arch Surg. 1964;88(2):249-254. doi:10.1001/archsurg.1964.01310200087019.
Text Size: A A A
Published online


The development of postoperative adhesions following abdominal surgery is not completely understood. Factors governing individual response leading to extensive adhesions in some patients and their absence in others remain unexplained. Most reports directly relate the formation of adhesions to the amount of trauma inflicted during operative handling and manipulation of tissues.1 Many experimental methods have been studied in an attempt to decrease postoperative adhesions because of their importance as a cause of intestinal obstruction. Recently, Knightly et al2 and Spagna and Peskin3 reported on the use of fibrinolysin to prevent adhesions in rats. The dose of fibrinolysin necessary to eliminate all adhesions was lethal in some animals. Investigation of less noxious substances seems justified.

Dextran has been used successfully to prevent thrombosis of small arteries and large veins following trauma to the intima.4,5 The mechanism by which dextran prevents thrombosis remains obscure. The total plasma volume


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.