The Role of Adhesion Formation in Gynecology and Reproductive Surgery

  • W. Schröder
  • W. Rath
Conference paper

Abstract

Postoperative formation of intraperitoneal adhesions, a well-known frequent complication of intraabdominal surgery, also plays a key role in gynecological surgery, particularly in reproductive surgery. Large trials have demonstrated that more than 50% of all patients who undergo diagnostic laparoscopy do so in order to clarify adnexal factors for female infertility. Moreover, in another 33% of cases laparoscopy is performed because of clinical suspicion of adnexitis [1].

Keywords

Corticosteroid Heparin Dextran Infertility Endometriosis 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Schneider HPG, Karbowski B (1994) Endoskopische Diagnostik und Therapie der weiblichen Sterilität. In: Krebs D, Schneider HPG (eds) Endokrinologie und Reproduktionsmedizin III, 3rd edn. (Klinik der Frauenheilkunde und Geburtshilfe, vol III ) Urban and Schwarzenberg, Munich, pp 103–118Google Scholar
  2. 2.
    Ellis H (1971) The cause and prevention of postoperative intraperitoneal adhesions. Surg Gynecol Obstet 133: 497–511PubMedGoogle Scholar
  3. 3.
    Grodstein F, Goldman MB, Cramer DW (1993) Relation of tubal infertility to history of sexually transmitted diseases. Am J Epidemiol 137 (5): 577–584PubMedGoogle Scholar
  4. 4.
    Burghardt E (1993) Epithelial ovarian cancer: surgical treatment. In: Burghardt E (ed) Surgical gynecologic surgery. Thieme, Stuttgart, pp 459–467Google Scholar
  5. 5.
    Pennehouat G, Mosseri V, Durand IC et al. (1988) Lymphocèles et peritonisation après lymphadènectomies pour cancers de l’uterus. J Gynecol Obstet Biol Reprod 17: 373–378Google Scholar
  6. 6.
    Benedetti-Panici P, Maneschi F, Scotto di Palumbo V et al. (1995) Lymphadenectomy in gynecologic oncology: to drain or not to drain the retroperitoneum. Int J Gynecol Cancer 5 [Suppl 1]: 23Google Scholar
  7. 7.
    Franchi M, Zanaboni F, Beccaria C et al. (1995) Role of peritonealization in radical hysterectomy and node dissection (RHND): a multicenter randomized study. Int J Gynecol Cancer 5 [Suppl 1]: 24Google Scholar
  8. 8.
    Kolmorgen K, Schulz AM (1991) Ergebnisse nach per laparoscopiam ausgeführten Adhäsiolysen bei Patientinnen mit chronischen Unterbauchbeschwerden. Zentralbl Gynäkol 113: 291–295PubMedGoogle Scholar
  9. 9.
    Di Zerega GS, Rodgers KE (1992) The peritoneum. Springer, New York Berl in HeidelbergGoogle Scholar
  10. 10.
    Karbowski B, Schneider HPG (1994) Tubenfaktor der weiblichen Sterilität In: Krebs D, Schneider HPG (eds) Endokrinologie und Reproduktionsmedizin, Vol 3, 3rd edn. Urban and Schwarzenberg, Munich, pp 143–158Google Scholar
  11. 11.
    Gauwerky JFH, Kubli F (1986) Intraabdominelle Adhäsionen - Ursachen, Vorbeugung und Behandlung. Fertilitat 2: 125–134Google Scholar
  12. 12.
    Frantzen C, Schlösser HW (1984) Mikrochirurgie in der Gynäkologie. (Bücherei des Frauenarztes, vol 15 ) Enke, StuttgartGoogle Scholar
  13. 13.
    Lundorff P, Hahlin M, Källfelt B et al. (1991) Adhesion formation after laparoscopic surgery in tubal pregnancy: a randomized trial versus laparotomy. Fertil Steril 55: 911–915PubMedGoogle Scholar
  14. 14.
    Operative Laparoscopy Study Group (1991) Postoperative adhesion development after operative laparoscopy: evaluation of early second look procedures. Fertil Steril 55: 700–704Google Scholar
  15. 15.
    Nordic Adhesion Prevention Study Group (1995) The efficacy of Interceed (TC7) for prevention of reformation of postoperative adhesions on ovaries, fallopian tubes and fimbriae in microsurgical operations for fertility: a multicenter study. Fertil Steril 63: 709–714Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1997

Authors and Affiliations

  • W. Schröder
  • W. Rath

There are no affiliations available

Personalised recommendations