[Prevention of peritoneal adhesions].
Peritoneal adhesions are a major problem for health and economy. An adequate and atraumatic surgical technique is essential in the prevention of peritoneal adhesions. Laparoscopic microsurgery should be developed and promoted. The following conclusions can be proposed about the treatments available Adequately designed clinical studies are too rare. Future studies are necessary to obtain information on pregnancy and pain as primary outcomes. Cost implications of adhesion prevention treatments also have to be addressed.
Canis
M
M
Département de Gynécologie Obstétrique et Médecine de la Reproduction, CHU, boulevard Léon-Malfreyt, 63033 Clermont-Ferrand. mcanis@chu-clermontferrand.fr
Botchorishvili
R
R
Wattiez
A
A
Rabischong
B
B
Houlle
C
C
Mage
G
G
Pouly
J L
JL
Manhes
H
H
Bruhat
M A
MA
D000818:Animals; D004848:Epithelium / Q000503:physiopathology; D006801:Humans; D006820:Hyaluronic Acid / Q000008:administration & dosage; D010535:Laparoscopy; D008866:Microsurgery; D010532:Peritoneal Diseases / Q000503:physiopathology / Q000517:prevention & control*; D011183:Postoperative Complications / Q000517:prevention & control; D013537:Sutures; D007507:Therapeutic Irrigation; D000267:Tissue Adhesions / Q000503:physiopathology / Q000517:prevention & control*; D016212:Transforming Growth Factor beta / Q000502:physiology
D016212:Transforming Growth Factor beta; D006820:Hyaluronic Acid