title: [Special aspects of abdominal adhesions in gynecology].
abstract: 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.
authors.affiliation: Paracelsusklinik, Düsseldorf.
authors.forename: H C
authors.initials: HC
authors.lastname: Verhoeven
authors.forename: G
authors.initials: G
authors.lastname: Freundl
authors.forename: G
authors.initials: G
authors.lastname: Freude
authors.forename: P
authors.initials: P
authors.lastname: Wendt
authors.forename: G
authors.initials: G
authors.lastname: Blümel
mesh_terms: 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
chemical_list: C021650:hydrocortisone acetate; D013299:Streptodornase and Streptokinase; D006854:Hydrocortisone