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As aderências abdominais são complicações frequentes após cirurgias de hérnia encarcerada, resultando de um processo inflamatório exacerbado e cicatrização peritoneal inadequada, levando à formação de tecido fibroso. Este estudo tem como objetivo revisar as causas, diagnóstico e manejo dessas aderências, destacando estratégias preventivas e terapêuticas. A revisão foi realizada em bases de dados como PubMed, SciELO e Lilacs, com artigos entre 1993 a 2021 que abordassem fisiopatologia, métodos diagnósticos e condutas terapêuticas. Os resultados mostram que fatores como trauma peritoneal, isquemia, comorbidades e predisposição genética contribuem para a formação das aderências. A tomografia computadorizada destaca-se como o exame mais eficaz no diagnóstico, enquanto o manejo conservador é indicado em obstruções parciais, e a laparoscopia se mostra preferencial nos casos cirúrgicos por ser menos invasiva e proporcionar recuperação mais rápida. Estratégias preventivas, como técnicas cirúrgicas cuidadosas, barreiras físicas absorvíveis e agentes antiaderenciais, têm demonstrado resultados promissores, mas com limitações. Conclui-se que o avanço nas abordagens diagnósticas e preventivas é essencial para reduzir as complicações, melhorar os desfechos clínicos e promover uma recuperação mais eficiente dos pacientes..
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Copyright (c) 2024 Pedro Henrique Ribeiro, Beth Gleyber Pessoa de Oliveira , Gabriele Moura de Oliveira, Jael Bergamaschi Barros Neto, Jader Moura Fernandes Pereira, José Bernardo Cardoso Simões Vieira Barbosa , Marcelle Rodrigues Carneiro de Souza Reis, Maria Irismar Rabelo Fernandes , Natasha Colla Frigeri , Thainá Fernandes Nascimento, Thaís Costenaro dos Santos, Thiago Fernandes de Lacerda , Vinicius Pomerening Goulart