The using of adhesion barrier interceed in functional uterine surgery

Vitaly F. Bezhenar; Беженарь Виталий Фёдорович; N. N. Volkov; Волков Н. Н.; R. D. Ivanova; Иванова Р. Д.; Е. N. Popov; Попов Э. Н.; R. P. Volkanov; Волканов Р. П.

doi:10.17816/JOWD87234

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
Affiliations:
1. Research Institute of Obstetrics, Gynecology and Reproductology named after D.O. Ott
2. Medical-Military Academy
3. Saint Petersburg State Pediatric Medical University
4. 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

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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.

Keywords

the use of an anti-adhesion barrier interceed, functional uterine surgery

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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.