The rates of adhesion development and the effects of crystalloid solutions on adhesion development in pelvic surgery

Wiseman, David M.; Trout, J. Richard; Diamond, Michael P.

doi:10.1016/s0015-0282(98)00270-2

Cited by 120 publications

(74 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Other surgical adjuncts to prevent adhesion formation include irrigation with crystalloid solutions and highmolecular-weight dextran (Wiseman et al, 1998). The use of crystalloid solutions is known as hydroflotation.…”

Section: Discussionmentioning

confidence: 99%

Abnormal laparoscopy findings among infertile women attending a mission hospital in Nigeria

Ugboaja¹,

Oguejiofor²,

Ogelle³

2017

Int. J. Med. Med. Sci.

View full text Add to dashboard Cite

This research aims to study the findings from diagnostic laparoscopy among infertile women managed in a secondary healthcare center in Nigeria. This is a prospective study of eighty infertile women who had diagnostic laparoscopy in a secondary healthcare facility in Nigeria. The age range of the women was 24 to 45 years with most of them belonging to the parity group of 0 to 1 (90.0%; n=0.72). Primary infertility accounted for 43(53.8%) of cases, whereas the mean duration of infertility was 4.3+/-2.4 years. Fifty-seven (71.3%) of the women had abnormal findings at laparoscopy. This comprised mainly of tubal pathologies (63.8%, n=51), pelvic adhesions (33.8%, n=27) and uterine fibroids (31.3%, n=25). Tubal occlusion was found in 39(48.8%) of the women, compromised bilateral tubal occlusion in 12(15.0%) and unilateral tubal occlusion in 27(33.8%) of cases. Distal tubal occlusion accounted for 24(30.0%) while proximal tubal occlusion was seen in 15(18.8%) of cases. While there were 21(26.3%) cases of polycystic ovaries, there was no significant difference in prevalence of abnormal laparoscopy (p=0.8), tubal pathology (p=0.5) and tubal occlusion (p=0.18) with respect to the type of infertility. There was a high rate of abnormal laparoscopy findings among the studied women which were mainly tubal occlusion and pelvic adhesions. These findings indicate the need to incorporate laparoscopy in the initial evaluation of all infertility cases in our environment.

show abstract

Section: Discussionmentioning

confidence: 99%

Abnormal laparoscopy findings among infertile women attending a mission hospital in Nigeria

Ugboaja¹,

Oguejiofor²,

Ogelle³

2017

Int. J. Med. Med. Sci.

View full text Add to dashboard Cite

show abstract

“…into the peritoneal cavity at the end of the surgery to produce a "hydroflotation" effect has represented the most popular and economic agent used for adhesion prevention in gynecological surgery. However, a meta-analysis of clinical trials has shown that crystalloids do not reduce the formation of postsurgical adhesions whether in laparoscopy or in laparotomy [51,52]. This seems to be due to rapid absorption rate of the peritoneum (30-60 ml/h) which ensures a nearly complete assimilation of the fluid into the vascular system within 24-48 h, far too short to influence adhesion formation.…”

Section: Local Productsmentioning

confidence: 99%

Belgian consensus on adhesion prevention in hysteroscopy and laparoscopy

Verguts

Bosteels

Roberta³

et al. 2015

Gynecol Surg

View full text Add to dashboard Cite

Intrauterine and intraabdominal adhesions are a major cause for infertility. The most recent investigations have demonstrated the potential of intraperitoneal adhesion barriers combined with good surgical technique to reduce adhesion formation. For intrauterine adhesions we suggest to minimize unipolar and bipolar instrumentation whenever possible. We advocate the use of estrogens for 10 days after adhesiolysis: 2dd two tablets of estradiol 2 mg. Instillation of Hyalobarrier Gel Endo actually is not reimbursed but may have a beneficial effect after myomectomy or adhesiolysis. Concerning laparoscopic and laparotomic prevention of adhesion also, meticulous surgical technique is of the utmost importance. Residual blood should be avoided by careful hemostasis and rinsing with Ringer's lactate with heparin. Preferably braided sutures are not to be left in the abdominal cavity. We advise to avoid unipolar and bipolar cauterization when possible and to replace with ultrasonic or laser energy. The use of floatation barriers does not seem to add substantial benefit in the prevention of adhesions. Gel barriers (Hyalobarrier Gel Endo® or Intercoat®) are proven to have a significant effect on adhesion prevention. As for sheets, there is enough evidence that they prevent adhesions. The use of NSAID in the prevention of pain and/or corticosteroids in the prevention of postoperative nausea is already mainstay after surgery and can be further endorsed in the prevention of adhesions.

show abstract

“…Die Heilung seröser Häute ist, unabhängig von der Defektgrö-ße, je nach Literaturangaben bereits nach fünf bis zehn Tagen abgeschlossen [34,28,51] [17,65]. Durch die gestörte Fibrinolyse wird die adhäsive Oberfläche erhalten, an der benachbarte Darmschlingen oder die Bauch-und Beckenwand haften können.…”

Section: Die Peritoneale Heilungunclassified

“…Die [65,45,23]. Dies liegt in der schnellen peritonealen Resorption dieser Lösungen mit 30-60 ml/h begründet.…”

Section: Prävention Intraabdomineller Adhäsionenunclassified

Intraperitoneale Adhäsionen

Brochhausen¹

2009

BIOmaterialien

View full text Add to dashboard Cite

The rates of adhesion development and the effects of crystalloid solutions on adhesion development in pelvic surgery

Cited by 120 publications

References 54 publications

Abnormal laparoscopy findings among infertile women attending a mission hospital in Nigeria

Abnormal laparoscopy findings among infertile women attending a mission hospital in Nigeria

Belgian consensus on adhesion prevention in hysteroscopy and laparoscopy

Intraperitoneale Adhäsionen

Contact Info

Product

Resources

About