Outcomes of adhesion barriers in gynecologic surgeries | 合法醫療器材資訊網

由CHuang著作·2019·被引用5次—Fourbrandsofadhesivebarrierswereused:Interceed,Seprafilm,Adept,and...NJ),Seprafilm(GenzymeCorp.,Cambridge,MA),Adept(icodextrinw/v4% ...

Intra-abdominal surgery may lead to severe postoperative complications, such as pelvic adhesion, postoperative ileus, and severe pain, due to surgical trauma-induced ischemia and inflammation. Consequently, fibrin persistence may develop in the form of bands, thus affecting the peritoneal surfaces on the opposite side.[1] A second-look laparoscopic survey has revealed that 50% to 100% of pelvic adhesions develop in the first few weeks after surgery.[2] Adhesions may be caused by subfertility, chronic abdominal pain, and dyspareunia.[3] Therefore, their formation must be reduced to prevent subsequent events.

Compared with open surgery, laparoscopy reduces peritoneal trauma and de novo adhesion formation; however, it may cause peritoneal inflammation due to pneumoperitoneum pressure duration and thermal injuries.[4] Therefore, the use of an antiadhesive barri...