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Principles of Laparoscopic Microsurgery and Adhesion Prevention

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Practical Manual of Operative Laparoscopy and Hysteroscopy

Abstract

Pelvic adhesions are known to play a role in female infertility; additionally, adhesions may lead to complications including bowel obstruction and pelvic pain. Because postoperative pelvic adhesions following laparotomy have been reported to occur in 55% to 95% of cases,(1) the development of strategies to reduce adhesion formation and reformation is of paramount importance to the pelvic surgeon. In this regard, several advances have been made in reproductive surgery over the last quarter of a century, including the use of microsurgical technique, adhesion reduction adjuvants, and endoscopic surgery. This chapter presents our understanding of the pathogenesis of postoperative adhesion development and the surgical techniques and adjuvants cur-rently used in attempts to minimize their formation.

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Authors
  1. Jacqueline N. Gutmann
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  2. Michael P. Diamond
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Editor information

Editors and Affiliations

  1. Department of Obstetrics and Gynecology, University of Alabama School of Medicine, 618 South 20th St., Birmingham, AL, 35233-7333, USA

    Ricardo Azziz M.D., M.P.H. (Professor) (Professor)

  2. Division of Reproductive Endocrinology, Department of Obstetrics and Gynecology, Emory University School of Medicine, 1639 Pierce Drive, Atlanta, GA, 30322, USA

    Ana Alvarez Murphy M.D. (Director) (Director)

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© 1997 Springer Science+Business Media New York

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Gutmann, J.N., Diamond, M.P. (1997). Principles of Laparoscopic Microsurgery and Adhesion Prevention. In: Azziz, R., Murphy, A.A. (eds) Practical Manual of Operative Laparoscopy and Hysteroscopy. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1886-9_11

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  • DOI: https://doi.org/10.1007/978-1-4612-1886-9_11

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-7324-0

  • Online ISBN: 978-1-4612-1886-9

  • eBook Packages: Springer Book Archive

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