Da Vinci Robotic Surgery for Severe Abdominal Adhesion
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Burden of adhesions in abdominal and pelvic surgery: systematic review and met-analysis
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Micro-presentation: Postoperative Adhesions in Gynecologic Surgery
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Reducing the Risk of Adhesions in Complex Gynecology
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Contemporary Adhesion Prevention In Gynaecological Surgery
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Total Abdominal Hysterectomy | Atlas of Gynecologic Surgery
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Prevention of post operative adhesions in gynecologic surgery
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Infertility: Adhesions that form as a result of certain types of gynecologic surgery, especially tubal surgeries and surgeries to remove fibroids (myomectomies), are a common cause of infertility. Adhesions between the ovaries, fallopian tubes or pelvic walls can prevent an egg from the ovaries from getting into and through the fallopian tubes. Infertility: Adhesions that form as a result of certain types of gynecologic surgery, especially tubal surgeries and surgeries to remove fibroids (myomectomies), are a common cause of infertility. Adhesions between the ovaries, fallopian tubes or pelvic walls can prevent an egg from the ovaries from getting into and through the fallopian tubes.
Adhesions were not found to be significantly associated with the other laparoscopic gynecological surgery indications (Table 2). The most common laparoscopic gynecological surgery performed in our patients was diagnostic laparoscopy, laparoscopic ovarian cystectomy, laparoscopic adhesiolysis, and laparoscopic tubal ligation. Among open gynecologic procedures, ovarian surgery had the highest rate of readmissions directly related to adhesions (7.5/100 initial operations) (2).
In the Scottish experience, excepting laparoscopic sterilization procedures, open and laparoscopic gynecologic surgery was associated with comparable risk for adhesion-related hospital readmission (3). Adhesions form following gynecologic surgery regardless of whether surgery is performed via laparotomy or laparoscope. A laparoscopic surgical approach is preferable to an abdominal approach, and a vaginal or laparoscopic hysterectomy is preferable to an abdominal hysterectomy ( Adamson, 2011 ).
Postoperative adhesions in gynecologic surgery: a committee opinion Postoperative adhesions are a natural consequence of surgical tissue trauma and healing and may result in infertility, pain, and bowel obstruction. Adherence to microsurgical principles and minimally invasive surgery may help to decrease postoperative adhesions. For example, after gynecologic surgery, adhesions account for 15–20% of infertility cases 10, 11. This vicious, and sometimes lethal, circle of consecutive operations adds an.
Although current evidence suggests that adhesion barriers placed at the time of laparoscopic gynecologic surgery reduce adhesion formation, clinical improvement has not been well reported. We hope this systematic review will stimulate critical evaluation of how surgical techniques, adhesiolysis, adhesion barriers, and multidisciplinary therapies impact subfertility, pain, and patients’. GYNECARE INTERCEED Adhesion Barrier is indicated as an adjuvant in open (laparotomy) gynecologic pelvic surgery for reducing the incidence of postoperative pelvic adhesions after meticulous hemostasis is achieved consistent with microsurgical principles. Pathogenesis, consequences, and control of peritoneal adhesions in gynecologic surgery Fertil Steril 2008;90 (5 Suppl):S144-S149.
This statement from the practice committee of the American Society for Reproductive Medicine provides an update to what is known about pelvic adhesions and gynecologic surgery. It goes on to say that the use of some barriers, while effective in reducing postoperative adhesions.
List of related literature:
|from Berry & Kohn’s Operating Room Technique E-Book|
|from Pfenninger and Fowler’s Procedures for Primary Care E-Book: Expert Consult|
|from Nezhat’s Operative Gynecologic Laparoscopy and Hysteroscopy|
|from Campbell-Walsh Urology: Expert Consult Premium Edition: Enhanced Online Features and Print, 4-Volume Set|
|from Hysterectomy: A Comprehensive Surgical Approach|
|from Complications of Urologic Surgery E-Book|
|from Current Therapy in Large Animal Theriogenology E-Book|
|from Fundamentals of Pediatric Surgery|
|from The 5-minute Obstetrics and Gynecology Consult|
|from Comprehensive Gynecology|