Email this article Adhesion prevention in reproductive surgery
- Authors: Popov A.A.1, Manannikova T.N.1, Kirushkina О.G.1, Chausova N.А.1, Gluchov Е.Y.1
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Affiliations:
- Dp. Endoscopy Moscow Reg. Research Institute
- Issue: Vol 54, No 5S (2005)
- Pages: 28-29
- Section: Reviews
- URL: https://journals.eco-vector.com/jowd/article/view/87201
- DOI: https://doi.org/10.17816/JOWD87201
- ID: 87201
Cite item
Abstract
Introduction. Adhesion formation in abdominal cavity is one of the leading disease. Adhesion formation after pelvic surgery is the cause of ileus, sterility and chronic pelvic pain. There is no foolproof method to prevent the adhesion constitution. There are some recommendations in the literature to prevent this process: to use crystalloids and colloids after basic operative stage, dosing irrigation the cavity with isotonic solution sodium chloride with heparin, administration of the glucocorticoid.
Full Text
Introduction. Adhesion formation in abdominal cavity is one of the leading disease. Adhesion formation after pelvic surgery is the cause of ileus, sterility and chronic pelvic pain. There is no foolproof method to prevent the adhesion constitution. There are some recommendations in the literature to prevent this process: to use crystalloids and colloids after basic operative stage, dosing irrigation the cavity with isotonic solution sodium chloride with heparin, administration of the glucocorticoid.
Design & Methods. The aim of our research is to make the protocol of application and valuation of adhesion barrier INTERCEED and gel INTERGEL effectiveness. The membrane INTERCEED was used after dissection of deep retrocervical endometriosis by laparoscopy in 11 patients, after myomectomy by laparoscopy in 35 cases, and in patients with sterility - in 18 cases. It’s known that these types of operations have the high risk of postoperative adhesion
constitution. INTERGEL was performed after laparoscopic adhesiolysis in 10 patients who had 2-4 open surgery before. We have done second-look laparoscopy in 34 cases after 4-6 months.
Results. Adhesion have been found in 6 cases but the intensive of adhesions was lower (number, quality, vascularisation etc.). 1 patient after 2 surgeries and laparoscopic adhesiolysis + INTERGEL was reoperated on 7-th day urgently (ileus). The gel and adhesion were not found.
There were 3 pregnant women after laparoscopic treatment of deep endometriosis + INTERCEED. There were 5 pregnancies after total laparoscopic adhesiolysis + INTERGEL in the patients with peritoneal infertility and 10 pregnancies after laparoscopic myomectomy.
Conclusion. Adhesion barrier is more important in the reproductive surgery. Now there are two kinds of barriers - membrane and gel. These data show the effectiveness and safety of both of them.
About the authors
A. A. Popov
Dp. Endoscopy Moscow Reg. Research Institute
Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow
T. N. Manannikova
Dp. Endoscopy Moscow Reg. Research Institute
Email: info@eco-vector.com
Russian Federation, Moscow
О. G. Kirushkina
Dp. Endoscopy Moscow Reg. Research Institute
Email: info@eco-vector.com
Russian Federation, Moscow
N. А. Chausova
Dp. Endoscopy Moscow Reg. Research Institute
Email: info@eco-vector.com
Russian Federation, Moscow
Е. Yu. Gluchov
Dp. Endoscopy Moscow Reg. Research Institute
Email: info@eco-vector.com
Russian Federation, Moscow
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