Adhesion prevention in laparoscopic surgery.
Adhesions are a common sequela of laparoscopic surgery, even though they are reduced by as much as three-fourths in comparison with laparotomy. The main factors as found in the literature for decreasing adhesions post-laparoscopy are: meticulous technique and microsurgical principles, hemostasis, and liberal irrigation with Ringer's lactate or other instillates. Barrier materials offer promise for adhesion prevention, and estrogen antagonists, too, warrant further investigation.
Tulandi
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Department of Obstetrics and Gynecology, McGill University Montreal, Quebec, Canada.
D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D000267:Tissue Adhesions / Q000209:etiology / Q000517:prevention & control* / Q000601:surgery