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Use of Adhesion Prevention Barriers in Pelvic Reconstructive and Gynecologic Surgery

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Pelvic Surgery

Abstract

The techniques surgeons practice to minimize peritoneal trauma remain the foundation of adhesion prevention. These include use of magnification, use of fine-caliber microsurgical instruments, use of fine suture material of low tissue reactivity, meticulous hemostasis, minimization of tissue handling, prevention of tissue desiccation, and avoidance of foreign bodies in the operative field.1–3 However, recent studies demonstrated conclusively that adhesions often occur after surgical procedures are performed using both microsurgical as well as laparoscopic techniques.4–6 As a result, over the last 6 years three adhesion prevention barriers have become available for clinical use. In addition, viscoelastics were successfully studied in clinical trials as well as laboratory models of adhesion prevention. Many of these developments were previously discussed in a number of reviews on surgical techniques and adjuvants to reduce the formation of postsurgical adhesions.7–10 This chapter gathers together the results of clinical studies on adhesion prevention adjuvants currently available for clinical use and provides a perspective for their effective use in pelvic surgery.

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Authors
  1. Gere S. DiZerega
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Editors and Affiliations

  1. Department of Obstetrics and Gynecology, Livingston Laboratories, University of Southern California, 90033, Los Angeles, CA, USA

    Gere S. diZerega M.D.

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© 1997 Springer Science+Business Media New York

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DiZerega, G.S. (1997). Use of Adhesion Prevention Barriers in Pelvic Reconstructive and Gynecologic Surgery. In: diZerega, G.S., et al. Pelvic Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1864-7_19

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  • DOI: https://doi.org/10.1007/978-1-4612-1864-7_19

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-7316-5

  • Online ISBN: 978-1-4612-1864-7

  • eBook Packages: Springer Book Archive

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