[Special aspects of abdominal adhesions in gynecology].
Even minor adhesions in the oviduct or in the ovarial region may lead to infertility. In a controlled trial the adhesion status was documented in 103 patients who underwent microsurgical operations for infertility. Solutions of (a) streptokinase/streptodornase, (b) hydrocortisone acetate or (c) Ringer's solution only were administered intraperitoneally as adhesion prophylaxis. During a control laparoscopy 1 week after the primary operation, newly formed adhesions of mainly intermediate extent were observed in about 10% of the patients. There was no significant difference in efficacy between the prophylactic treatment.
Verhoeven
H C
HC
Paracelsusklinik, Düsseldorf.
Freundl
G
G
Freude
G
G
Wendt
P
P
Blümel
G
G
D003131:Combined Modality Therapy; D004564:Electrocoagulation; D005184:Fallopian Tube Diseases / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000008:administration & dosage / Q000031:analogs & derivatives; D007247:Infertility, Female / Q000473:pathology / Q000601:surgery*; D010535:Laparoscopy; D008866:Microsurgery; D010049:Ovarian Diseases / Q000473:pathology / Q000601:surgery*; D010533:Peritoneal Lavage; D011183:Postoperative Complications / Q000473:pathology / Q000601:surgery*; D012086:Reoperation; D013299:Streptodornase and Streptokinase / Q000008:administration & dosage; D000267:Tissue Adhesions / Q000473:pathology / Q000601:surgery
C021650:hydrocortisone acetate; D013299:Streptodornase and Streptokinase; D006854:Hydrocortisone