The using of adhesion barrier interceed in functional uterine surgery
- Authors: Bezhenar V.F.1,2, Volkov N.N.2, Ivanova R.D.1, Popov Е.N.3, Volkanov R.P.4
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Affiliations:
- Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott
- Medical-Military Academy
- Saint Petersburg State Pediatric Medical University
- State Medical University named after academician I.P. Pavlova
- Issue: Vol 54, No 5S (2005)
- Pages: 35-35
- Section: Reviews
- URL: https://journals.eco-vector.com/jowd/article/view/87234
- DOI: https://doi.org/10.17816/JOWD87234
- ID: 87234
Cite item
Abstract
Introduction. Soldering disease of abdominal cavity is an often complication for organ preservated surgical treatment of fibroids. The most perspective and modem principle, providing the high preventive effect, is using of special means, dividing the wound surfaces in postoperative time. There are two kinds of antisoldering barriers, which can be used in operative gynecology: self-dissolving membranes and liquid phases.
Full Text
Introduction. Soldering disease of abdominal cavity is an often complication for organ preservated surgical treatment of fibroids. The most perspective and modem principle, providing the high preventive effect, is using of special means, dividing the wound surfaces in postoperative time. There are two kinds of antisoldering barriers, which can be used in operative gynecology: self-dissolving membranes and liquid phases.
Objective of present research was the evaluation of effectiveness of self-dissolving barrier Interceed (Gynecare) for myomectomy in patients with fibroids.
Material and methods. Membrane Interceed (oxidized regenerated cellulose) of standard size was used for patients with fibroid after myomectomy in cases with plural localization of tumor (20 cases). It is known that this intervention has a high risk of forming postoperative solders. Myomectomy by laparoscopy was completed in 7 patients (35%); in 11 cases (55%) intervention was made by means of mini-laparotomy with laparoscopy assistance because of big size, atypical or
intramural localization of nodules. Low localization of large fibroid in 2 cases (10%) needed laparotomy operation. In several cases only a part of membrane was used. Ultrasound control was made on 3d, 5-th и 30-th days after intervention.
Results. During ultrasound control after intervention there were noticed that the membrane Interceed was not found on 5-th day. In one case on the 6-th day after using Interceed the patient was secondly intervented due to the suspicion of hematoma in pelvic cavity. Solders in pelvic cavity and in area of postoperative seams on the uterus were not found. The membrane was in the form of thin, transparent, netting pellicle.
Conclusions. Analyzing the received preliminary results and literary sources (Popov A.A., 2002) the using of adhesion barrier Interceed should be consider as the safe and effective mean for soldering prevention in uterine reconstructive-plastic interventions in women of reproductive age with unrealized fertility.
About the authors
Vitaly F. Bezhenar
Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott; Medical-Military Academy
Author for correspondence.
Email: info@eco-vector.com
Doctor of Medical Sciences, Professor, Head of the Department of Obstetrics and Gynecology
Russian Federation, Saint Petersburg; Saint PetersburgN. N. Volkov
Medical-Military Academy
Email: info@eco-vector.com
Department of obstetrics and gynecology
Russian Federation, Saint PetersburgR. D. Ivanova
Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott
Email: info@eco-vector.com
obstetrician-gynecologist
Russian Federation, Saint PetersburgЕ. N. Popov
Saint Petersburg State Pediatric Medical University
Email: info@eco-vector.com
Department of obstetrics and gynecology of medical faculty
Russian Federation, Saint PetersburgR. P. Volkanov
State Medical University named after academician I.P. Pavlova
Email: info@eco-vector.com
department of obstetrics and gynecology
Russian Federation, Saint Petersburg