Skip to main content

Polymer Solutions and Films as Tissue-Protective and Barrier Adjuvants

  • Chapter
Peritoneal Surgery

Abstract

This chapter is primarily devoted to a discussion of two very different concepts for development of polymeric compositions designed to inhibit postoperative adhesion formation in all types of surgery. One concept, which has received the least attention and which we therefore consider in more detail, is that of tissue protection during surgery by the use of polymer solutions as tissue coatings intended to minimize manipulative and desiccation trauma in the surgical field. The second concept, which has been the primary focus of research in this field for the past 20 years, is that of barrier coatings or films designed to be placed, at the end of surgery, over tissues that have been damaged during surgery. Such coatings or films may thereby act as barriers to the bridging of apposite damaged tissues with unwanted internal scar tissue (adhesions).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Swolin K. Beitrage zur operativen Behandlung der weiblichen Sterilität: experimentelle und klinische Studien. Acta Obstet Gynecol Scand 1967; 46(suppl 4).

    Google Scholar 

  2. Kaufman HE, Katz J, Valenti J, et al. Corneal endodielium damage with intraocular lenses: contact adhesion between surgical materials and tissue. Science 1977; 198:525–527.

    PubMed  CAS  Google Scholar 

  3. Hammer ME, Burch TG. Viscous corneal protection by sodium hyaluronate, chondroitin sulfate, and methylcellu-lose. Invest Ophthalmol Visual Sci 1984; 25(11):1329–1332.

    CAS  Google Scholar 

  4. Goldberg EP, Sheets JW, Habal MB. Peritoneal adhesions. Arch Surg 1980; 115:776–780.

    PubMed  CAS  Google Scholar 

  5. Miyauchi S, Iwata S. Biochemical studies on the use of sodium hyaluronate in the anterior eye segment. IV. The protective efficacy of the corneal endothelium. Curr Eye Res 1984; 3(8):1063–1067.

    PubMed  CAS  Google Scholar 

  6. Pedersen OO. Comparison of the protective effects of methylcellulose and sodium hyaluronate on corneal swelling following phacoemulsification of senile cataracts. J Cataract Refractive Surg 1990; 16(5):594–596.

    CAS  Google Scholar 

  7. Koch DD, Liu JF, Glasser DB, et al. A comparison of corneal endothelial changes after use of Healon or Viscoat during phacoemulsification. Am J Ophthalmol 1993; 115(2):188–201.

    PubMed  CAS  Google Scholar 

  8. Miyauchi S, Horie K, Morita M, et al. Protective efficacy of sodium hyaluronate on the corneal endothelium against the damage induced by sonication. J Ocular Pharmacol Ther 1996; 12(1):27–34.

    CAS  Google Scholar 

  9. Guthoff R, Wendl U, Bohnke M, et al. [Endothelial cell protective effect of high viscosity substances in cataract surgery]. Ophthalmologe 1992; 89(4):310–312.

    PubMed  CAS  Google Scholar 

  10. Watters WB, Buck RC. Scanning electron microscopy of mesothelial regeneration in the rat. Lab Invest 1972; 26:604–609.

    PubMed  CAS  Google Scholar 

  11. Urman B, Gomel V, Jetha N. Effect of hyaluronic acid on postoperative intraperitoneal adhesion formation in the rat model. Fertil Steril 1991; 56(3):563–567.

    PubMed  CAS  Google Scholar 

  12. Duncan DA, Yaacobi Y, Goldberg EP, et al. Prevention of postoperative pericardial adhesions with hydrophilic polymer solutions. J Surg Res 1988; 45:44–49.

    PubMed  CAS  Google Scholar 

  13. Burns JW, Skinner K, Colt J, et al. Prevention of tissue injury and postsurgical adhesions by precoating tissues with hyaluronic acid solutions. J Surg Res 1995; 59:644–652.

    PubMed  CAS  Google Scholar 

  14. Yaacobi Y, Goldberg EP, Habal MB. Effect of Ringer’s lactate irrigation on the formation of postoperative abdominal adhesions. J Invest Surg 1991; 4:31–36.

    PubMed  CAS  Google Scholar 

  15. Ryan GB, Grobety J, Majno G. Mesothelial injury and recovery. Am J Pathol 1973; 71(1):93–112.

    PubMed  CAS  Google Scholar 

  16. Ellis H. The clinical significance of adhesions: focus on intestinal obstruction. Eur J Surg 1997; Suppl 577:5–9.

    Google Scholar 

  17. diZerega GS. Biochemical events in peritoneal tissue repair. EurJ Surg 1997; Suppl 577:10–16.

    Google Scholar 

  18. Goldberg EP. Tissue-protective solutions and films for adhesion prevention. In: Pelvic Surgery: Adhesion Formation and Prevention, Proceedings of 3rd International Congress on Pelvic Surgery and Adhesion Prevention, 1997, San Diego, CA.

    Google Scholar 

  19. Kappas AM, Fatouros M, Papadimitriou K, et al. Effect of intraperitoneal saline irrigation at different temperatures on adhesion formation. Br J Surg 1988; 78:854–856.

    Google Scholar 

  20. Ordonez JJ, Dominguez J, Edvard V, et al. The effect of training and duration of surgery on adhesion formation in the rabbit model. Hum Reprod (Oxf) 1997; 12(12):2654–2657.

    CAS  Google Scholar 

  21. Tsukada K, Katoh H, Shiojima M, et al. Concentrations of cytokines in peritoneal fluid after abdominal surgery. Eur J Surg 1993; 159(9):475–479.

    PubMed  CAS  Google Scholar 

  22. Kaelin LD, Seeger JM, Staples EM, et al. Prevention of postoperative pericardial adhesions in a canine model by tissue precoating with hyaluronic acid solutions. In: Proceedings for the 48th Annual Sessions of the Forum on Fundamental Surgical Problems, 1992 Clinical Congress. New Orleans, LA: American College of Surgeons, 1992.

    Google Scholar 

  23. Holmdahl L, Eriksson E, Eriksson BI, et al. Depression of peritoneal f ibrinolysis during operation is a local response to trauma. Surgery (St. Louis) 1998; 123(5):539–544.

    CAS  Google Scholar 

  24. Down RH, Whitehead R, Watts JM. Do surgical packs cause peritoneal adhesions? Aust N Z J Surg 1979; 49(3):379–382.

    PubMed  CAS  Google Scholar 

  25. Down RH, Whitehead R, Watts JM. Why do surgical packs cause peritoneal adhesions? Aust N Z J Surg 1980; 50(1):83–85.

    PubMed  CAS  Google Scholar 

  26. van den Tol MP, van Stijn I, Bonthius F, et al. Reduction of intraperitoneal adhesion formation by use of non-abrasive gauze. BrJ Surg 1997; 84(10):1410–1415.

    Google Scholar 

  27. Luijendijk RW, de Lange DC, Wauters CC, et al. Foreign material in postoperative adhesions. Ann Surg 1996; 223(3):242–248.

    PubMed  CAS  Google Scholar 

  28. Tolbert TW, Brown JL. Surface powders on surgical gloves. Arch Surg 1980; 115:729–732.

    PubMed  CAS  Google Scholar 

  29. Holmdahl L, al-Jabreen M, Xia G, et al. The impact of starch-powdered gloves on the formation of adhesions in rats. EurJ Surg 1994; 160(5):257–261.

    Google Scholar 

  30. Renz H, Schmidt A, Hofmann P, et al. Tumor necrosis factor-alpha, interleukin 1, eicosanoid, and hydrogen peroxide release from macrophages exposed to glove starch particles. Clin Immunol Immunopathol 1993; 68(1):21–28.

    PubMed  CAS  Google Scholar 

  31. Swanson MC, Bubak ME, Hunt LW, et al. Quantification of occupational latex aeroallergens in a medical center. J Allergy Clin Immunol 1994; 94:445–451.

    PubMed  CAS  Google Scholar 

  32. Bauer X, Ammon J, Chen Z, et al. Health risk in hospitals through airborne allergens for patients presensitised to latex. Lancet 1993; 342:1148–1149.

    Google Scholar 

  33. Newsome SWB, Shaw P. Airborne particles from latex gloves in the hospital environment. Eur J Surg 1997; Suppl 579:31–33.

    Google Scholar 

  34. Tang X, Chegini N, Rossi MJ, et al. The effect of surgical glove powder on proliferation of human skin fibroblast and mono cyte/macrophage. J Gynecol Surg 1994; 10(3):139–150.

    PubMed  CAS  Google Scholar 

  35. Rong H, Tang X-M, Zhao Y, et al. Postsurgical intraperitoneal exposure to glove powders modulates inflammatory and immune-related cytokine production. Wound Repair Regen 1997; 5:89–96.

    PubMed  CAS  Google Scholar 

  36. Rappaport WD, Hunter GC, Allen R, et al. Effect of elec-trocautery on wound healing in midline laparotomy incisions. Am J Surg 1990; 160:618–620.

    PubMed  CAS  Google Scholar 

  37. Myllarniemi H. Healing and adhesion formation of peritoneal wounds. An angio-, histoangiographic, and ultrastructural study. Acta Chir Scand 1973; 139(3):258–263.

    PubMed  CAS  Google Scholar 

  38. Westreenen MV, Pronk A, Papendrecht AAGMHv, et al. Peritoneal responses to perioperative lavage: in vitro and in vivo observations (abstract). In: International Congress on Peritoneal Tissue Repair, The 4th Peritoneum and Peritoneal Access Meeting, 1997, Gothenburg, Sweden.

    Google Scholar 

  39. McEntee GP, Stuart RC, Byrne PJ, et al. Experimental study of starch-induced intraperitoneal adhesions [see comments]. Br J Surg 1990; 77(10):1113–1114.

    PubMed  CAS  Google Scholar 

  40. Sharefkin JB, Fairchild KD, Albus RA, et al. The cytotoxic effect of surgical glove powder particles on adult human vascular endothelial cell cultures: implications for clinical uses of tissue culture techniques. J Surg Res 1986; 41(5):463–472.

    PubMed  CAS  Google Scholar 

  41. Holmdahl L, Eriksson E, Al-Jabreen M, et al. Fibrinolysis in human peritoneum during surgery. Surgery 1996; 119:701–705.

    PubMed  CAS  Google Scholar 

  42. Holmdahl L, Al-Jabreen M, Risberg B. Experimental models for quantitative studies on adhesion formation in rats and rabbits. Eur Surg Res 1994; 26:248–256.

    PubMed  CAS  Google Scholar 

  43. Wallwiener D, Meyer A, Bastert G. Adhesion formation of the parietal and visceral peritoneum: an explanation for the controversy on the use of autologous and alloplastic barriers? Fertil Steril 1998; 69:132–137.

    PubMed  CAS  Google Scholar 

  44. Holmdahl L. The role of fibrinolysis in adhesion formation. Eur J Surg (Suppl) 1997; 577:24–31.

    Google Scholar 

  45. Haney AF, Doty E. The formation of coalescing peritoneal adhesions requires injury to both contacting peritoneal surfaces. Fertil Steril 1994; 61(4):767–775.

    PubMed  CAS  Google Scholar 

  46. Peck LS, Quigg JM, Farnworth ST, et al. Effect of solution volume on prevention of surgical adhesions using hyaluronic acid and carboxymethylcellulose tissue precoating solutions (abstract). J Invest Surg 1991; 4:387.

    Google Scholar 

  47. Falk K, Holmdahl L, Halvarsson M, et al. Bioadhesive polymers that reduce intraperitoneal adhesion formation. Br J Surg 1998; 85:1153–1156.

    PubMed  CAS  Google Scholar 

  48. Cantacuzene J, Soru E. [The mechanism of adhesions of the omentum to damaged tissues of the peritoneal cavity electrostatic interactions]. Arch Roum Pathol Exp Micro-biol 1931; 4:173.

    Google Scholar 

  49. Kloth LC. Physical modalities in wound management: UVC, therapeutic heating and electrical stimulation. Ostomy Wound Manage 1995; 41(5):18–20, 22-24, 26-27.

    PubMed  CAS  Google Scholar 

  50. Barnes TC. Healing rate of human skin determined by measurement of the electrical potential of experimental abrasions: a study of treatment with petrolatum and with petrolatum containing yeast and liver extracts. Am J Surg 1945; 69(1):82–88.

    Google Scholar 

  51. Foulds IS, Barker AT. Human skin battery potentials and their possible role in wound healing. Br J Dermatol 1983; 109(5):515–522.

    PubMed  CAS  Google Scholar 

  52. Chiang M, Robinson KR, Vanable JW Jr. Electrical fields in the vicinity of epithelial wounds in the isolated bovine eye. Exp Eye Res 1992; 54(6):999–1003.

    PubMed  CAS  Google Scholar 

  53. Helmus MN, Gibbons DF, Jones RD. The effect of surface charge on arterial thrombosis. J Biomed Materials Res 1984; 18:165–183.

    CAS  Google Scholar 

  54. Orida N, Feldman JD. Directional protrusive pseudo-podial activity and motility in macrophages induced by extracellular electric fields. Cell Motil 1982; 2(3):243–255.

    PubMed  CAS  Google Scholar 

  55. Diamond MP, DeCherney AH, Linsky CB, et al. Assessment of carboxymethylcellulose and 32% dextran 70 for prevention of adhesions in a rabbit uterine horn model. Int J Fertil 1988; 33(4):278–282.

    PubMed  CAS  Google Scholar 

  56. Fredericks CM, Kotry I, Holtz G, et al. Adhesion prevention in the rabbit with sodium carboxymethylcellulose solutions. AmJ Obstet Gynecol 1986; 155:667–670.

    CAS  Google Scholar 

  57. Flessner MF, Dedrick RL, Schultz JS. Exchange of macro-molecules between peritoneal cavity and plasma. Am J Physiol 1985; 248(1) pt 2):H15–H25.

    PubMed  CAS  Google Scholar 

  58. Fraser JR, Laurent TC, Laurent UB. Hyaluronan: its nature, distribution, functions and turnover. J Intern Med 1997; 242(1):27–33.

    PubMed  CAS  Google Scholar 

  59. Toole BP. Hyaluronan in morphogenesis. J Intern Med 1997; 242(1):35–40.

    PubMed  CAS  Google Scholar 

  60. Kerr Muir MG, Sherrard ES, Andrews V, et al. Air, methyl-cellulose, sodium hyaluronate and the corneal endothe-lium. Endothelial protective agents. Eye (Lond) 1987; 1(pt 4):480–486.

    Google Scholar 

  61. Shusan A, et al. Mor-Yosef S, Avgar A, Hyaluronic acid for preventing experimental postoperative intraperitoneal adhesions. J Reprod Med 1994; 39:398–402.

    Google Scholar 

  62. Rodgers KE, Johns DB, Girgis W, et al. Reduction of adhesion formation with hyaluronic acid after peritoneal surgery in rabbits. Fertil Steril 1997; 67(3):553–558.

    PubMed  CAS  Google Scholar 

  63. Kennedy R, Costain DJ, McAllister VC, et al. Prevention of experimental postoperative peritoneal adhesions by N, O-carboxymethyl chitosan. Surgery (St. Louis) 1996; 120:866–870.

    CAS  Google Scholar 

  64. Hill-West JL, Chowdhury SM, Dunn RC, et al. Efficacy of a resorbable hydrogel barrier, oxidized regenerated cellulose, and hyaluronic acid in the prevention of ovarian adhesions in a rabbit model. Fertil Steril 1994; 62(3):630–634.

    PubMed  CAS  Google Scholar 

  65. Seeger JM, Kaelin LD, Staples EM, et al. Prevention of postoperative pericardial adhesions using tissue-protective solutions. J Surg Res 1997; 68:63–66.

    PubMed  CAS  Google Scholar 

  66. Peck LS, Skrabut E, Kiribuchi K, et al. Development of a severe adhesion model using talc or TGF-ß2: efficacy of Seprafilm and Sepracoat in reducing postoperative adhesion formation (abstract). In: International Congress on Peritoneal Tissue Repair: 4th Peritoneum and Peritoneal Access Meeting, 1997, Gothenburg, Sweden.

    Google Scholar 

  67. Peck LS, Goldberg EP, Burns JW. A rat cecal abrasion model for evaluating surgical adhesions: retrospective analysis of tissue protection studies using HA and CMC solution precoating (abstract). In: Academy of Surgical Research: Tenth Annual Scientific Session, 1994, Orlando, FL.

    Google Scholar 

  68. Wurster SH, Bonet V, Mayberry A, et al. Intraperitoneal sodium carboxymethylcellulose administration prevents reformation of peritoneal adhesions following surgical lysis. J Surg Res 1995; 59(1):97–102.

    PubMed  CAS  Google Scholar 

  69. West JL, Chowdhury SM, Sawhney AS, et al. Efficacy of adhesion barriers: resorbable hydrogel, oxidized regenerated cellulose and hyaluronic acid. J Reprod Med 1996; 41:149–154.

    PubMed  CAS  Google Scholar 

  70. Urman B, Gomel V. Effect of hyaluronic acid on postoperative intraperitoneal adhesion formation and reformation in the rat model. Fertil Steril 1991; 56(3):568–570.

    PubMed  CAS  Google Scholar 

  71. Mitchell JD, Lee R, Hodakowski GT, et al. Prevention of postoperative pericardial adhesions with a hyaluronic acid coating solution. J Thorac Cardiovasc Surg 1994; 107(6):1481–1488.

    PubMed  CAS  Google Scholar 

  72. Yaacobi Y, Hamed LM, Kaul KS, et al. Reduction of postoperative adhesions secondary to strabismus surgery in rabbits. Ophthal Surg 1992; 23(2):123–128.

    CAS  Google Scholar 

  73. Oh SO, Lee J. Reduction of postoperative adhesions in strabismus surgery. Korean J Ophthalmol 1992; 6(2):76–82.

    PubMed  CAS  Google Scholar 

  74. Ravalico G, Tognetto D, Baccara F, et al. Corneal endothelial protection by different viscoelastics during phacoemul-sification. J Cataract Refractive Surg 1997; 23(3):433–439.

    CAS  Google Scholar 

  75. Peck LS, Quigg JM, Fossum GT, et al. Evaluation of CMC and HA solutions for adhesiolysis. J Invest Surg 1995; 8:337–348.

    PubMed  CAS  Google Scholar 

  76. Fulga V, Koren R, Ezov N, et al. Sodium hyaluronate as a tool in strabismus surgery in rabbits. Ophthalmic Surg Lasers 1996; 27(3):228–233.

    PubMed  CAS  Google Scholar 

  77. Diamond MP. Reduction of de novo postsurgical adhesions by intraoperative precoating with Sepracoat (HAL-C) solutions: a prospective, randomized, blinded, placebo-controlled multicenter study. Sepracoat Adhesion Study Group. Fertil Steril 1998; 69(6):1067–1074.

    PubMed  CAS  Google Scholar 

  78. Akatsuka M, Yamamoto Y, Tobetto K, et al. Suppressive effects of hyaluronic acid on elastase release from rat peritoneal leucocytes. J Pharm Pharmacol 1993; 45(2):110–114.

    PubMed  CAS  Google Scholar 

  79. Mast BA, et al. Hyaluronic acid modulates proliferation, collagen and protein synthesis of cultured fetal fibroblasts. Matrix 1993; 13:441–446.

    PubMed  CAS  Google Scholar 

  80. Klein ES, Asculai SS, Ben-Ari GY. Effects of hyaluronic acid on fibroblast behavior in peritoneal injury. J Surg Res 1996; 61:473–476.

    PubMed  CAS  Google Scholar 

  81. Boyce DE, Thomas A, Hart J et al. Hyaluronic acid induces tumour necrosis factor-alpha production by human macrophages in vitro. Br J Plast Surg 1997; 50(5):362–368.

    PubMed  CAS  Google Scholar 

  82. Ponzin D, Vecchia P, Toffano G, et al. Characterization of macrophages elicited by intraperitoneal injection of hyaluronate. Agents Actions 1986; 18(5-6):544–549.

    PubMed  CAS  Google Scholar 

  83. Toole BP, Knudson CB, Goldberg RL, et al. Hyaluronate-cell interactions in morphogenesis and tumorigenesis. In: Wolff JR, Sievers J, Berry M, eds. Mesenchymal-Epithelial Interactions in Neural Development. Berlin: Springer, 1987:267–278.

    Google Scholar 

  84. Lebel L, Gerdin B. Sodium hyaluronate increases vascular ingrowth in the rabbit ear chamber. Int J Exp Pathol 1991; 72(2):111–118.

    PubMed  CAS  Google Scholar 

  85. Homsy CA, Stanley RF, King JW. Pseudosynovial fluids based on sodium carboxymethylcellulose. In: Gabelnick HL, Litt M, eds. Rheology of Biological Systems. Springfield: Thomas, 1973:278.

    Google Scholar 

  86. Moll HD, Schumacher J, Wright JC, et al. Evaluation of sodium carboxymethylcellulose for prevention of experimentally induced abdominal adhesions in ponies. Am J Vet Res 1991; 52(1):88–91.

    PubMed  CAS  Google Scholar 

  87. Ryan CK, Sax HC. Evaluation of a carboxymethylcellulose sponge for prevention of postoperative adhesions. Am J Surg 1995; 169:154–160.

    PubMed  CAS  Google Scholar 

  88. Alponat A, Lakshminarasappa SR, Teh M, et al. Effects of physical barriers in prevention of adhesions: an incisional hernia model in rats. J Surg Res 1997; 68:126–132.

    PubMed  CAS  Google Scholar 

  89. Hunt RJ, Wilson B, Moore JN, et al. In vitro evaluation of sodium carboxymethylcellulose on bacterial growth (abstract). Center for Continuing Education, University of Georgia: Symposium Abstracts, Fourth Equine Colic Research Symposium, 1991, p. 51.

    Google Scholar 

  90. Gauwerky JF, Heinrich D, Kubli F. Complications of intraperitoneal dextran application for prevention of adhesions. Biol Res Pregnancy Perinatol 1986; 7:93–97.

    PubMed  CAS  Google Scholar 

  91. Rein MS, Hill JA. 32% dextran 70 (Hyskon) inhibits lymphocyte and macrophage function in vitro: a potential new mechanism for adhesion prevention. Fertil Steril 1989; 52(6):953–957.

    PubMed  CAS  Google Scholar 

  92. diZerega GS, Rodgers KE. The Peritoneum. New York: Springer-Verlag, 1992:378.

    Google Scholar 

  93. Rozga J, Andersson R, Srinivas U, et al. Influence of phos-phatidylcholine on intra-abdominal adhesion formation and peritoneal macrophages. Nephron 1990; 54(2):134–138.

    PubMed  CAS  Google Scholar 

  94. Snoj M, Ar’Rajab A, Ahren B, et al. Phospholipase-resistant phosphatidylcholine reduces intra-abdominal adhesions induced by bacterial peritonitis. Res Exp Med 1993; 193(2):117–122.

    CAS  Google Scholar 

  95. Ar’Rajab A, Ahren B, Rozga J, et al. Phosphatidylcholine prevents postoperative peritoneal adhesions: an experimental study in the rat. J Surg Res 1991; 50(3):212–215.

    PubMed  Google Scholar 

  96. Snoj M, Ar’Ajab A, Ahren B, et al. Effect of phosphatidylcholine on postoperative adhesions after small bowel anastomosis in the rat. BrJ Surg 1992; 79(5):427–429.

    CAS  Google Scholar 

  97. Costain DJ, Kennedy R, Ciona C, et al. Prevention of post-surgical adhesions with iV,O-carboxymethyl chitosan: examination of the most efficacious preparation and the effect of N, O-carboxymethyl chitosan on postsurgical healing. Surgery (St. Louis) 1997; 121:314–319.

    CAS  Google Scholar 

  98. Elkins TE, Ling FW, Ahokas RA, et al. Adhesion prevention by solutions of sodium carboxymethylcellulose in the rat. II. Fertil Steril 1984; 41(6):929–932.

    PubMed  CAS  Google Scholar 

  99. Mayer M, Yedgar S, Hurwitz A. Effect of viscous macro-molecules on peritoneal plasminogen activator activity: a potential mechanism for their ability to reduce postoperative adhesion prevention. Am J Obstet Gynecol 1988; 159:957–963.

    PubMed  CAS  Google Scholar 

  100. Reijnen MMPJ, Meis J, Postma VA, et al. Prevention of intra-abdominal abscesses and adhesions by a hyaluronate based solution (Sepracoat) in a rat peritonitis model (abstract). In: International Congress on Peritoneal Tissue Repair: The 4th Peritoneum and Peritoneal Access Meeting, 1997, Gothenburg, Sweden.

    Google Scholar 

  101. Diamond MP, DeCherney AH, Linsky CB, et al. Adhesion reformation in the rabbit uterine horn model. I. Reduction with carboxymethylcellulose. IntJ Fertil 1988; 33(5):372–375.

    CAS  Google Scholar 

  102. Elkins TE, Bury RJ, Ritter JL, et al. Adhesion prevention by solutions of sodium carboxymethylcellulose in the rat. I. Fertil Steril 1984; 41:926–928.

    PubMed  CAS  Google Scholar 

  103. Heidrick GW, Pippitt CH, Jr, Farnworth ST, et al. Efficacy of intraperitoneal sodium carboxymethylcellulose in preventing postoperative adhesion formation. J Reprod Med 1994; 39(8):575–578.

    PubMed  CAS  Google Scholar 

  104. Peck LS, Quigg JM, Farnworth ST, et al. Effect of solution volume and viscosity on surgical adhesion prevention using CMC in pre-and post-abrasion tissue coating models (abstract). J Invest Surg 1992; 5(3):277.

    Google Scholar 

  105. diZerega GS, Rodgers KE. Peritoneal Fluid. In: The Peritoneum. New York: Springer-Verlag, 1992:34–38.

    Google Scholar 

  106. Gist RS, Lu PP, Raj HG, et al. Use of sodium hetastarch (Hespan) solution for reduction of postoperative adhesion formation in rabbits. J Invest Surg 1996; 9(5):369–373.

    PubMed  CAS  Google Scholar 

  107. Graebe RA, Oelsner G, Cornelison TL, et al. An animal study of different treatments to prevent postoperative pelvic adhesions. Microsurgery 1989; 10(1):53–55.

    PubMed  CAS  Google Scholar 

  108. Steinleitner A, Lumbert H, Kazensky C, et al. Poloxamer 407 as an intraperitoneal barrier material for the prevention of postsurgical adhesion formation and reformation in rodent models for reproductive surgery. Obstet Gynecol 1991; 77(1):48–52.

    PubMed  CAS  Google Scholar 

  109. Reigel DH, Bozmi B, Shih SR, et al. A pilot investigation of poloxamer 407 for the prevention of leptomeningeal adhesions in the rabbit. Pediatr Neurosurg 1993; 19(5):250–255.

    PubMed  CAS  Google Scholar 

  110. Leach RE, Henry RL. Reduction of postoperative adhesions in the rat uterine horn model with poloxamer 407. Am J Obstet Gynecol 1990; 162(5):1317–1319.

    PubMed  CAS  Google Scholar 

  111. Frishman GN, Peluso JJ, Kratka SA, et al. Preoperative versus postoperative dextran 70 for preventing adhesion formation. J Reprod Med 1991; 36(10):707–710.

    PubMed  CAS  Google Scholar 

  112. Cohen BM, Heyman T, Mast D. Use of intraperitoneal solutions for preventing pelvic adhesions in the rat. J Re-prod Med 1983; 28(10):649–653.

    CAS  Google Scholar 

  113. Singer ER, Livesey MA, Barker IK, et al. Utilization of the serosal scarification model of postoperative intestinal adhesion formation to investigate potential adhesion-preventing substances in the rabbit. Can J Vet Res 1996; 60(4):305–311.

    PubMed  CAS  Google Scholar 

  114. diZerega GS. Contemporary adhesion prevention. Fertil Steril 1994; 61(2):219–235.

    Google Scholar 

  115. diZerega GS. Use of adhesion prevention barriers in ovarian surgery, tubalplasty, ectopic pregnancy, endometriosis, adhesiolysis, and myomectomy. Curr Opin Obstet Gynecol 1996; 8(3):230–237.

    Google Scholar 

  116. Saravelos HG, Li TC. Physical barriers in adhesion prevention. J Reprod Med 1996; 41(1):42–51.

    PubMed  CAS  Google Scholar 

  117. Rehman IU. Biodegradable polyurethanes: biodegradable low adherence films for the prevention of adhesions after surgery. J Biomater Appl 1996; 11(2):182–257.

    PubMed  CAS  Google Scholar 

  118. Larsson B. Efficacy of Interceed in adhesion prevention in gynecologic surgery: a review of 13 clinical studies. J Reprod Med 1996; 41(1):27–34.

    PubMed  CAS  Google Scholar 

  119. Burns JW, Colt MJ, Burgees LS, et al. Preclinical evaluation of Seprafilm bioresorbable membrane. Eur J Surg (Suppl) 1997; 577:40–48.

    Google Scholar 

  120. Medina M, Paddock HN, Connolly RJ, et al. Novel anti-adhesion barrier does not prevent anastomotic healing in a rabbit model. J Invest Surg 1995; 8(3):179–186.

    PubMed  CAS  Google Scholar 

  121. Alponat A, Lakshminarasoppa SR, Yavuz N, et al. Prevention of adhesions by Seprafilm, an absorbable adhesion barrier: an incisional hernia model in rats. Am Surg 1997; 63(9):818–819.

    PubMed  CAS  Google Scholar 

  122. Beck DE. The role of Seprafilm bioresorbable membrane in adhesion prevention. Eur J Surg (Suppl) 1997; 577:49–55.

    Google Scholar 

  123. Rodgers K, Cohn D, Hotovely A, et al. Evaluation of polyethylene glycol/polylactic acid films in the prevention of adhesions in the rabbit adhesion formation and reformation sidewall models. Fertil Steril 1998; 69(3):403–408.

    PubMed  CAS  Google Scholar 

  124. Hershlag A, Diamond MP, DeCherney AH. Adhesiolysis. Clin Obstet Gynecol 1991; 34(2):395–402.

    PubMed  CAS  Google Scholar 

  125. Holtz G, Kling OR. Effect of surgical technique on peritoneal adhesion reformation after lysis. Fertil Steril 1982; 37(4):494–496.

    PubMed  CAS  Google Scholar 

  126. Diamond MP, Daniell JF, Feste J, et al. Adhesion reformation and de novo adhesion formation after reproductive pelvic surgery. Fertil Steril 1987; 47(5):864–866.

    PubMed  CAS  Google Scholar 

  127. O’Sullivan D, O’Riordain M, O’Conneil RP, et al. Peritoneal adhesion formation after lysis: inhibition by polyethylene glycol 4000. Br J Surg 1991; 78:427–429.

    PubMed  Google Scholar 

  128. Menzies D, Ellis H. The role of plasminogen activator in adhesion prevention. Surg Gynecol Obstet 1991; 172(5):362–366.

    PubMed  CAS  Google Scholar 

  129. Vipond MN, Whawell SA, Scott-Coombes DM, et al. Experimental adhesion prophylaxis with recombinant tissue plasminogen activator. Ann R Coll Surg Engl 1994; 76(6):412–415.

    PubMed  CAS  Google Scholar 

  130. Gehlbach DL, O’Hair KC, Parks AL, et al. Combined effects of tissue plasminogen activator and carboxymethyl-cellulose on adhesion reformation in rabbits. Int J Fertil Menopausal Stud 1994; 39(3):172–176.

    PubMed  CAS  Google Scholar 

  131. Doody KJ, Dunn RC, Buttram JVC. Recombinant tissue plasminogen activator reduces adhesion formation in a rabbit uterine horn model. Fertil Steril 1989; 51(3):509–512.

    PubMed  CAS  Google Scholar 

  132. Jansen RP. Failure of peritoneal irrigation with heparin during pelvic operations upon young women to reduce adhesions. Surg Gynecol Obstet 1988; 166(2):154–160.

    PubMed  CAS  Google Scholar 

  133. Basbug M, Aygen E, Tayyar M, et al. Hyaluronic acid plus heparin for improved efficacy in prevention of adhesion formation in rat uterine horn model. Eur J Obstet Gynecol Reprod Biol 1998; 78(1):109–112.

    PubMed  CAS  Google Scholar 

  134. Sahin Y, Saglam A. Synergistic effects of carboxymethyl-cellulose and low molecular weight heparin in reducing adhesion formation in the rat uterine horn model. Acta Obstet Gynecol Scand 1994; 73(1):70–73.

    PubMed  CAS  Google Scholar 

  135. LeGrand EK, Rodgers KE, Girgis W, et al. Efficacy of tolmetin sodium for adhesion prevention in rabbit and rat models. J Surg Res 1994; 56(1):67–71.

    PubMed  CAS  Google Scholar 

  136. LeGrand EK, Rodgers KE, Girgis W, et al. Comparative efficacy of nonsteroidal anti-inflammatory drugs and anti-thromboxane agents in a rabbit adhesion-prevention model. J Invest Surg 1995; 8(3):187–194.

    PubMed  CAS  Google Scholar 

  137. Rodgers KE, Johns DB, Girgis W, et al. Prevention of adhesion formation with intraperitoneal administration of tolmetin and hyaluronic acid. J Invest Surg 1997; 10:367–373.

    PubMed  Google Scholar 

  138. Yilmazlar T, Kaya E, Gurpinar E, et al. Efficacy of tenoxicam on intra-abdominal adhesion prevention in a rat model. J Int Med Res 1996; 24(4):352–357.

    PubMed  CAS  Google Scholar 

  139. Rappaport WD, Holcomb M, Valente J, et al. Antibiotic irrigation and the formation of intraabdominal adhesions. AmJ Surg 1989; 158:435–437.

    CAS  Google Scholar 

  140. Orita H, Fukasawa M, Girgis W, et al. Inhibition of post-surgical adhesions in a standardized rabbit model: intraperitoneal treatment with tissue plasminogen activator. Int J Fertil 1991; 36(3):172–177.

    PubMed  CAS  Google Scholar 

  141. Dunn RC, Mohler M. Effect of varying days of tissue plasminogen activator therapy on the prevention of postsurgi-cal adhesions in a rabbit model. J Surg Res 1993; 54:242–245.

    PubMed  CAS  Google Scholar 

  142. Gehlbach DL, O’Hair KC, Parks AL, et al. Combined effects of tissue plasminogen activator and carboxymethyl-cellulose on adhesion reformation in rabbits. Int J Fertil Menopausal Stud 1994; 39(3):172–176.

    PubMed  CAS  Google Scholar 

  143. Hill-West JL, Dunn RC, Hubbell JA. Local release of fibri-nolytic agents for adhesion prevention. J Surg Res 1995; 59:759–763.

    PubMed  CAS  Google Scholar 

  144. Menzies D, Ellis H. Intra-abdominal adhesions and their prevention by topical tissue plasminogen activator. J R Soc Med 1989; 82(9):534–535.

    PubMed  CAS  Google Scholar 

  145. Nagler A, Rivkind AI, Raphael J, et al. Halofuginone—an inhibitor of collagen type I synthesis—prevents postoperative formation of abdominal adhesions. Ann Surg 1998; 227(4):575–582.

    PubMed  CAS  Google Scholar 

  146. Rodgers KE, Girgis W, Campeau JD, et al. Reduction of adhesion formation by intraperitoneal administration of a recombinant hirudin analog. J Invest Surg 1996; 9(5):385–391.

    PubMed  CAS  Google Scholar 

  147. Montz FJ, Holschneider CH, Bozuk M, et al. Interleukin 10: ability to minimize postoperative intraperitoneal adhesion formation in a murine model. Fertil Steril 1994; 61(6):1136–1140.

    PubMed  CAS  Google Scholar 

  148. Holschneider CH, Cristoforoni PM, Ghosh K, et al. Endogenous versus exogenous IL-10 in a postoperative intraperitoneal adhesion formation in a murine model. J Surg Res 1997; 70(2):138–143.

    PubMed  CAS  Google Scholar 

  149. Vural B, Mercan R, Corakci A, et al. A trial of reducing adhesion formation in a uterine horn model. Gynecol Obstet Invest 1998; 45:58–61.

    PubMed  CAS  Google Scholar 

  150. Rodgers KE, Girgis W, Campeau JD, et al. Reduction of adhesion formation by intraperitoneal administration of anti-inflammatory peptide. 2. J Invest Surg 1997; 10(1–2):31–36.

    PubMed  CAS  Google Scholar 

  151. Ozogul Y, Boykal A, Onat D, et al. An experimental study of the effect of aprotinin on intestinal adhesion formation. Am J Surg 1998; 175(2):137–141.

    PubMed  CAS  Google Scholar 

  152. Lucas PA, Worejcka DJ, Young HE, et al. Formation of abdominal adhesions is inhibited by antibodies to transforming growth factor-beta 1? J Surg Res 1996; 65(2):135–138.

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2000 Springer Science+Business Media New York

About this chapter

Cite this chapter

Peck, L.S., Goldberg, E.P. (2000). Polymer Solutions and Films as Tissue-Protective and Barrier Adjuvants. In: diZerega, G.S. (eds) Peritoneal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1194-5_41

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-1194-5_41

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-7040-9

  • Online ISBN: 978-1-4612-1194-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics