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Fertility and Sterility pp 189–200Cite as

Prevention of postoperative adhesions

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Abstract

I had hoped to say ‘Eureka! I have got it!’ in referring to an effective and safe adjuvant for the prevention of postoperative adhesions. Regrettably and truthfully this is not the case. Indeed, I would have been wiser to have entitled this presentation ‘The Practical and Logistical Problems Encountered in Testing Adjuvants for Prevention of Postoperative Adhesions’. I will expand on this aspect shortly in relation to my own experience with the high molecular weight dextrans.

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References

  1. Goldfarb, J. M., Utian, W. H. and Weiss, R. (1983). Microscopic versus macroscopic tubal anastomosis in rabbit fallopian tubes. Fertil. Steril. (In press)

    Google Scholar 

  2. Verhoeven, H. C., Berry, H., Frantzen, C. and Schlosser, H. (1983). Surgical treatment for distal tubal occlusion. A review of 167 cases. J. Reprod. Med., 28, 293

    PubMed  CAS  Google Scholar 

  3. Swolin, K. (1977). Laparoscopy as an operative tool in female sterility. J. Reprod. Med., 19, 167

    PubMed  CAS  Google Scholar 

  4. DiZerega, G. and Utian, W. H. (1982). Efficacy of 32% dextran-70 in the prevention of peritoneal adhesions, and the utility of the second-look laparoscopy in infertility surgery. Fertil. Steril., 37, 291

    Google Scholar 

  5. Daniell, J. F. and Pittaway, D. E. (1983). Short-interval second-look laparoscopy after infertility surgery. J. Reprod. Med., 28, 281

    PubMed  CAS  Google Scholar 

  6. Bateman, B. G., Nunley, W. C. and Kitchin, J. D. (1982). Prevention of postoperative peritoneal adhesions with ibuprofen. Fertil. Steril., 38, 107

    PubMed  CAS  Google Scholar 

  7. Weinstein, D. and Polishuk, W. Z. (1975). The role of wedge resection of the ovary as a cause for mechanical sterility. Surg. Gynecol. Obstet., 141, 417

    PubMed  CAS  Google Scholar 

  8. DiZerega, G. S. (1980). The Cause and Prevention of Postsurgical Adhesions. (National Institutes of Health, Bethesda, MD: Pregnancy Research Branch )

    Google Scholar 

  9. Holtz, G. (1980). Prevention of postoperative adhesions. J. Reprod. Med., 24, 141

    PubMed  CAS  Google Scholar 

  10. Levinson, C. J. and Swolin, K. (1980). Postoperative adhesions: etiology, prevention and therapy. Clin. Obstet. Gynecol., 23, 1213

    Article  PubMed  CAS  Google Scholar 

  11. Eskeland, G. (1964). Regeneration of parietal peritoneum. Acta Path. Microbiol. Scand., 62, 459

    PubMed  CAS  Google Scholar 

  12. Rafferty, A. T. (1967). Regeneration of parietal and visceral peritoneum: An enzyme histochemical study. J. Anat., 121, 589

    Google Scholar 

  13. Buckman, R. F., Buckman, P. D., Hufnagel, H. V., et al. (1976). A physiologic basis for the adhesion-free healing of deperitonealized surfaces. J. Surg. Res., 21, 67

    Article  PubMed  Google Scholar 

  14. Choe, J. K., Dawood, Y. and Andrews, A. H. (1983). Conventional versus laser reanastomosis of rabbit ligated uterine horns. Obstet. Gynecol., 61, 689

    PubMed  CAS  Google Scholar 

  15. Siegler, A. M., Kontopolous, V. and Wang, C. F. (1980). Prevention of postoperative adhesions in rabbits with ibuprofen, a non-steroidal anti-inflammatory agent. Fertil. Steril., 34, 46

    PubMed  CAS  Google Scholar 

  16. Holtz, G. D. (1982). Failure of a non-steroidal anti-inflammatory agent (Ibuprofen) to inhibit peritoneal adhesion formation after lysis. Fertil. Steril., 37, 582

    PubMed  CAS  Google Scholar 

  17. O’Brien, W. F., Drake, T. S. and Bibro, M. C. (1982). The use of ibuprofen and dexamethasone in the prevention of postoperative adhesion formation. Obstet. Gynecol., 60, 373

    PubMed  Google Scholar 

  18. Seitz, H. M., Schenker, J. G. et al. (1973). Postoperative intraperitoneal adhesions: A double-blind assessment of their prevention in the monkey. Fertil. Steril., 24, 935

    PubMed  Google Scholar 

  19. DiZerega, G. S. and Hodgen, G. D. (1980). Prevention of postsurgical tubal adhesions: Comparative study of commonly used agents. Am. J. Obstet. Gynecol., 136, 173

    PubMed  CAS  Google Scholar 

  20. Granat, M., Schencker, J. G., et al. (1938). Effects of dexamethasone on proliferation of autologous fibroblasts and on the immune profile in women undergoing pelvic surgery for infertility. Fertil. Steril., 39, 180

    Google Scholar 

  21. Utian, W. H. (1980). Prevention of adhesions after tubal surgery by use of dextran70. S. Afr. Med. J., 58, 204

    PubMed  CAS  Google Scholar 

  22. Neuwirth, R. S. and Khalaf, S. M. (1975). Effect of thirty-two percent dextran 70 on peritoneal adhesion formation. Am. J. Obstet. Gynecol., 121, 420

    PubMed  CAS  Google Scholar 

  23. Utian, W. H., Goldfarb, J. M. and Starks, G. C. (1979). Role of dextran 70 in microtubal surgery. Fertil. Steril., 31, 79

    PubMed  CAS  Google Scholar 

  24. The Adhesion Study Group (1983). Reduction of postoperative pelvic adhesions with intraperitoneal dextran-70: A prospective, randomized study. Fertil. Steril. (In press)

    Google Scholar 

  25. Bernstein, J., Mattox, J. H. et al. (1982). The potential for bacterial growth with dextran. J. Reprod. Med., 27, 77

    PubMed  CAS  Google Scholar 

  26. Borten, M., Seibert, C. P. and Taymor, M. D. (1983). Recurrent anaphylactic reaction to intraperitoneal dextran 75 used for prevention of postsurgical adhesions. Obstet. Gynecol., 61, 755

    PubMed  CAS  Google Scholar 

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Authors
  1. W. H. Utian
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Editors and Affiliations

  1. TCD Unit, Rotunda Hospital Dublin, Dublin, Ireland

    Robert F. Harrison

  2. Department of Obstetrics and Gynaecology, Trinity College Unit, Rotunda Hospital, Dublin 2, Ireland

    John Bonnar

  3. Department of Midwifery and Gynaecology, Queen’s University Belfast, BT9 7AE, Belfast, Northern Ireland

    William Thompson

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© 1984 MTP Press Limited

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Utian, W.H. (1984). Prevention of postoperative adhesions. In: Harrison, R.F., Bonnar, J., Thompson, W. (eds) Fertility and Sterility. Springer, Dordrecht. https://doi.org/10.1007/978-94-015-1308-1_18

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  • DOI: https://doi.org/10.1007/978-94-015-1308-1_18

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-015-1310-4

  • Online ISBN: 978-94-015-1308-1

  • eBook Packages: Springer Book Archive

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