Abstract:
Connective tissue dysplasia can be realized with a large number of clinical variants, and
accordingly, excessive postoperative adhesion formation can be considered as a manifestation of
dysplastic-dependent processes. In the predominant number of surveyed children (93.8%) CTD
has developed on the background of existing connective tissue dysplasia syndrome, i.e. the
presence of external signs of this condition may serve as a predictor of postoperative
complications of adhesions in children.
Direct correlation between the number of CTD phenotypic characters and the prevalence of
intra-abdominal adhesions was determined. In our view, it allows to detect children at risk of
peritoneal adhesions on the basis of external features that can be identified during general
examination and do not require additional time or equipment. Accordingly, the surgical
treatment of children with signs of CTD syndrome requires an integrated approach and the
application of measures to prevent excessive adhesion formation, including intraoperative use of
anti-adhesive gels.
