The Assessment of the Use of Anti-Adhesion Agents to Prevent Pelvic Postoperative Adhesions

Author(s):  
2008 ◽  
Vol 86 (2) ◽  
pp. 614-621 ◽  
Author(s):  
Andrew J. Lodge ◽  
Winfield J. Wells ◽  
Carl L. Backer ◽  
James E. O'Brien ◽  
Erle H. Austin ◽  
...  

Author(s):  
P. Alex Smith ◽  
Timothy J. Keane ◽  
Stefano Serpelloni ◽  
Stephen G. Ramon ◽  
Francesca Taraballi

Abstract Postoperative adhesions are scar tissue that form between internal organs after surgery, leading to devastating life-long complications. Current adhesion barriers used clinically are solid sheets which can only be applied in open surgeries through large incisions. We have developed a material which can be applied as a liquid in minimally invasive surgeries which transitions into a solid thin film barrier upon contact with warm tissue. However, to be effective, it must be sprayed, and spraying a viscous liquid consistently is challenging. We proposed using a gas dispersant to facilitate aerosolization. In this study, we compared a commercially available nozzle without gas dispersant to a custom 3D printed nozzle with gas dispersant. For comparison, we measured both spray pattern and stiffness of the resulting gel. We found that when sprayed with gas dispersant, the spray pattern covered a larger area, and the resulting gel was stiffer than when sprayed without gas dispersant.


Urology ◽  
2011 ◽  
Vol 78 (4) ◽  
pp. 970.e9-970.e14 ◽  
Author(s):  
Hüsnü Tokgöz ◽  
Sibel Bektaş ◽  
Volkan Hancı ◽  
Bülent Erol ◽  
Bülent Akduman ◽  
...  

1997 ◽  
Vol 43 (2) ◽  
pp. 29-31
Author(s):  
A. G. Khomasuridze ◽  
E. G. Feinberg ◽  
R. A. Manusharova ◽  
N. I. Bablidze

A retrospective analysis of the efficacy of surgical intervention (demedullation of both ovaries) for the polycystic ovaries syndrome (POS) in 245 women aged 28 to 40 was carried out. Primary POS was diagnosed in 138 women (the ovarian form) and the endocrine metabolic form of the hypothalamic syndrome with secondary POS in 107. The findings showed anovulation to be responsible for infertility in 34.5% of cases, postoperative adhesions in the pelvic organs and obstruction of the uterine tubes in 34.2%, hyperprolactinemia in 11%, endometriosis in 18.3%, and ovarian cysts in 1% of cases. Treatment strategy in patients ineffectively operated on for POS cannot be standard and depends on the diseases which is diagnosed after surgery.  


2019 ◽  
Vol 112 (3) ◽  
pp. 458-463
Author(s):  
Alan Penzias ◽  
Kristin Bendikson ◽  
Tommaso Falcone ◽  
Susan Gitlin ◽  
Clarisa Gracia ◽  
...  

Biomedicines ◽  
2020 ◽  
Vol 8 (12) ◽  
pp. 533
Author(s):  
Juhi Dhanawat ◽  
Julian Pape ◽  
Damaris Freytag ◽  
Nicolai Maass ◽  
Ibrahim Alkatout

Endometriosis surgery is often very challenging. Key to complete resection of endometriosis is access to the retroperitoneum. Endometriosis can involve the ureter and uterine vessels, and ovary on the lateral pelvic wall makes retroperitoneal access difficult. Primary and post-surgical adhesions prevalence in endometriosis is very high. Ovariopexy, transposition of ovaries temporarily, is done for better surgical access and to reduce postoperative adhesions. We concluded that although limited evidence, ovariopexy is an excellent tool to aid endometriosis surgery and prevent postoperative adhesions. It is cost effective, simple and complication rate almost nil. More robust trials are required to substantiate evidence for its impact on preventing postoperative adhesions and its effect on fertility. In this review, we describe our technique of ovariopexy supplemented with a video, with the aim to put light on this useful and important technique, which is beneficial both for surgeons and patients.


Author(s):  
Philippe Koninckx ◽  
Maria Binda ◽  
Roberta Corona ◽  
Carlos Molinas

1999 ◽  
Vol 14 (Suppl_3) ◽  
pp. 130-131
Author(s):  
R.C. Dunn ◽  
C.T. Valdes ◽  
W.A. Bemelman ◽  
A.A.W. Peters ◽  
A.M. Strandell ◽  
...  

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