Barrier methods used to prevent pelvic adhesions in videolaparoscopy: experimental study in female rabbits

Balbinotto, Rosi Pereira; Müller, Ana Lúcia Letti; Gorgen, Andre; Silva, Rodrigo Da; Meyer, Fabíola Schons; Cerski, Carlos S.; Trindade, Manoel M R

doi:10.1007/s00464-011-1617-1

Cited by 5 publications

(5 citation statements)

References 33 publications

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“…All the animals in the polypropylene group had omental adhesions, but also small intestine and colon. This finding is well described by many available studies 2 , 5 , 6 , 11 , 17 , 29 . The adhesions could be easily detached from the mesh in both groups.…”

Section: Discussionsupporting

confidence: 85%

“…What we can formulate is that absorption of the regenerated oxidized cellulose exposes the polypropylene layer to the abdominal visceral content and that this consequently led to the adhesions found. Another experimental study showed that regenerated oxidized cellulose caused adhesions in almost half of the animals in the study 2 .…”

Section: Discussionmentioning

confidence: 95%

“…Technical information provided by the manufacturer of the coated prosthesis mention that it is composed of polypropylene, polydiaxone and a bioabsorbable anti-adhesion barrier compound called regenerated oxidized cellulose (Surgicel ® ). This latter layer has been used for the prevention of intra-abdominal adhesions and as a hemostatic barrier 2 . The polydiaxone polymer layer encapsulates the polypropylene layer to that of regenerated oxidized cellulose, joining them together.…”

Section: Discussionmentioning

confidence: 99%

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Peritoneal Adhesions Type I, Iii and Total Collagen on Polypropylene and Coated Polypropylene Meshes: Experimental Study in Rats

Rossi

Trindade

d'Acâmpora

et al. 2017

ABCD, arq. bras. cir. dig.

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Background: Hernia correction is a routinely performed treatment in surgical practice. The improvement of the operative technique and available materials certainly has been a great benefit to the quality of surgical results. The insertion of prostheses for hernia correction is well-founded in the literature, and has become the standard of treatment when this type of disease is discussed. Aim: To evaluate two available prostheses: the polypropylene and polypropylene coated ones in an experimental model. Methods: Seven prostheses of each kind were inserted into Wistar rats (Ratus norvegicus albinus) in the anterior abdominal wall of the animal in direct contact with the viscera. After 90 days follow-up were analyzed the intra-abdominal adhesions, and also performed immunohistochemical evaluation and videomorphometry of the total, type I and type III collagen. Histological analysis was also performed with hematoxylin-eosin to evaluate cell types present in each mesh. Results: At 90 days the adhesions were not different among the groups (p=0.335). Total collagen likewise was not statistically different (p=0.810). Statistically there was more type III collagen in the coated polypropylene group (p=0.039) while type I was not different among the prostheses (p=0.050). The lymphocytes were statistically more present in the polypropylene group (p=0.041). Conclusion: The coated prosthesis was not different from the polypropylene one regarding the adhesion. Total and type I collagen were not different among the groups, while type III collagen was more present on the coated mesh. There was a greater number of lymphocytes on the polypropylene mesh.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

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Peritoneal Adhesions Type I, Iii and Total Collagen on Polypropylene and Coated Polypropylene Meshes: Experimental Study in Rats

Rossi

Trindade

d'Acâmpora

et al. 2017

ABCD, arq. bras. cir. dig.

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“…We combined two methods to achieve adhesion genesis as follows: the right horn was subjected to an incision and hereon sutured, whereas the left horn was abraded by friction. Other methods to create adhesion models have been described and include cecum abrasion [27], peritoneal lesion [28] and uterine lesion with bipolar electrocoagulation [29]. Nevertheless, these studies were conducted in small animals (rodents) and included a shorter postoperative period (up to 3 mo).…”

Section: Discussionmentioning

confidence: 98%

Hemostatic sponge effect on adhesion prevention in a porcine model

Dı́az-Güemes

Enciso

Pérez-Medina

et al. 2015

Journal of Surgical Research

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“…It is commonly assumed that both laparoscopic surgery and APM reduce SBO incidence. Three APMs (Seprafilm, 3,4 which comes in rolls and Interceed, 5,6 provided in sheets, and AdSpray, 7,8 which is a spray) are now available in Japan. However, there is no evidence that these APMs decrease SBO incidence.…”

Section: Introductionmentioning

confidence: 99%

Clinical impact of laparoscopic surgery and adhesion prevention material for prevention of small bowel obstruction

Yamada

Hirata

Ichikawa

et al. 2022

Annals of Gastroent Surgery

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Aim: Adhesive small bowel obstructions (SBO) are one of the most common complications following abdominal surgery, and they decrease patient quality of life. Since 2000, laparoscopic surgery has been employed with increasing frequency, as has adhesion prevention material (APM). In this study we tried to evaluate whether laparoscopic surgery and APM reduce the incidence of SBO. Methods:In Cohort 1, we included patients who developed SBO and received inpatient treatment between 2015 and 2018. We evaluated the elapsed time between precedent surgery and the onset of SBO, and what kind of surgery most often causes SBO. In Cohort 2, we included patients who underwent digestive surgery between 2012 and 2014 and evaluated SBO incidence within 5 y after the precedent surgery.Registry and the Registration No. of the study/trial: N/A.

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Barrier methods used to prevent pelvic adhesions in videolaparoscopy: experimental study in female rabbits

Abstract: No difference was found using barrier methods, Surgicel(®), and Interceed(®) for preventing adhesion formation in videolaparoscopy.

Cited by 5 publications

References 33 publications

Peritoneal Adhesions Type I, Iii and Total Collagen on Polypropylene and Coated Polypropylene Meshes: Experimental Study in Rats

Peritoneal Adhesions Type I, Iii and Total Collagen on Polypropylene and Coated Polypropylene Meshes: Experimental Study in Rats

Hemostatic sponge effect on adhesion prevention in a porcine model

Clinical impact of laparoscopic surgery and adhesion prevention material for prevention of small bowel obstruction

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