Preventing Adhesions in Obstetric and Gynecologic Surgical Procedures

Preventing Adhesions in Obstetric and Gynecologic Surgical Procedures
Víctor Hugo González-Quintero, MD, MPH and Francisco E Cruz-Pachano, MD
Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Miami School of Medicine, Miami, FL Other Sections▼
AbstractAdhesion FormationAdhesion-Related MorbidityPrevention of Postoperative AdhesionsUse of Adhesion BarriersAdhesion Prevention at the Time of Cesarean DeliverySummaryReferencesAbstractAdhesive disease represents a significant cause of morbidity for postoperative patients. Most surgical procedures performed by obstetrician-gynecologists are associated with pelvic adhesions that cause subsequent serious sequelae, including small bowel obstruction, infertility, chronic pelvic pain, and difficulty in postoperative treatment, including complexity during subsequent surgical procedures. The technology of adhesion prevention has significantly progressed. There are 3 methods approved by the US Food and Drug Administration for the prevention of postoperative adhesions, including Adept®, Interceed®, and Seprafilm®. The latter barrier is the most widely studied. This article reviews the current choices available for adhesion prevention barriers as well as surgical adjuncts that traditionally have been studied for that purpose.Key words: Adhesion prevention, Postoperative morbidity, Cesarean deliveries, Gynecological surgeries
More of the abstract click here: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2672996/