The influence of intraoperative complications on adhesion formation during laparoscopic and conventional cholecystectomy in an animal model

Abstract

It seems that LC has a lower rate of adhesion formation than the conventional open technique. Complications such as bleeding or laceration of the liver bed during LC can enhance adhesion formation. No adhesion formation can be mentioned in relation to gallbladder perforation during LC.

Severity of Diverticulitis Does Not Influence Abdominal Complaints during Long-Term Follow-Up

“…Every abdominal operation can induce adhesion formation, although in general it has been shown that laparotomy results in more adhesion formation than laparoscopy [18-21]. Another cause for the formation of adhesions is the presence of localized or generalized peritonitis [22, 23].…”

Adhesion formation with open versus laparoscopic cholecystectomy: an immunologic and histologic study

“…We showed that with LC, only a decreased degree of columnar adhesions developed, whereas dense and curtain-like adhesions were formed with OC [4].…”

Laparoscopic Approach to Abdominal Sepsis

“…Thus, the laparoscopic approach, when viable, can be considered to prevent obstruction due to adhesions (Tittel et al, 2001). Other clinical and experimental studies have also shown evidence of a lesser formation of adhesions at the surgical site and on the abdominal wall when laparoscopy is used (Gadallah et al, 2001;Gamal et al, 2001). The lysis of adhesions by the laparoscopic route has several theoretical advantages over open surgery: 1) less intense postoperative pain, 2) more rapid resolution of the ileum, 3) shorter hospitalization, 4) earlier return to daily activities, 5) lower incidence of complications of the surgical wound, and 6) a reduced formation of postoperative adhesions (Nagle et al, 2004).…”