[Postoperative intra-abdominal adhesions: prevention and treatment].
The formation of adhesions after abdominal surgery is a very frequent event, often burdened by complications. Different techniques and materials have been tested in order to reduce peritoneal damage and the onset of adhesions. While the introduction of improved surgical techniques has been decisive, the use of drugs and irritating solutions has not produced significant results. Promising results have been obtained by the use of barrier systems that allow the peritoneal surfaces to be mechanically separated during healing and re-epithelialization: Interceed (TC7)--Absorbable Adhesion Barrier--appears to be the most appropriate material for this purpose at present, given that it has been demonstrated to be of use in reducing both the incidence and extent of adhesions. The use of this material in general surgery over the past to years or so appears to the authors to be indicated in the event of secondary abdominal surgery with detachment and extensive peritoneal damage, and in more restricted surgery performed on the true pelvis in women of child-bearing age.
Enrico
S
S
Divisione di Chirurgia Generale, Ospedale Luigi Gonzaga, Orbassano (Torino).
Pecchio
A
A
Mineccia
M
M
Mello Teggia
P
P
D000005:Abdomen / Q000601:surgery*; D000328:Adult; D002483:Cellulose, Oxidized / Q000008:administration & dosage; D005184:Fallopian Tube Diseases / Q000209:etiology / Q000517:prevention & control; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000517:prevention & control; D008297:Male; D010532:Peritoneal Diseases / Q000517:prevention & control / Q000628:therapy; D011138:Polytetrafluoroethylene / Q000008:administration & dosage; D011183:Postoperative Complications; D000267:Tissue Adhesions / Q000517:prevention & control / Q000628:therapy
D002483:Cellulose, Oxidized; C060002:INTERCEED; D011138:Polytetrafluoroethylene