A new nonabsorbable adhesion barrier for myomectomy.
BACKGROUND
A pilot study was made to assess the efficacy and safety of a new nonabsorbable adhesion barrier (Shelhigh Dome Pericondial Patch No-React Treated) in reducing adhesion after extensive myomectomy by laparotomy with a planned second-look laparoscopy.


METHODS
In 20 patients after extensive myomectomy and full thickness uterine wall reconstruction, the patch was sutured over the uterus. Second-look laparoscopy was performed 6 weeks postoperatively. Third-look laparoscopy was done in 3 patients.


RESULTS
Surgeries were completed without intraoperative or postoperative complications. No problems related to the patch were encountered including the need for its removal. At laparoscopy no adhesions between the abdominal wall, bladder, small bowel, or sigmoid colon to the uterus were noticed. A thin layer of the omental edge covered the patch that was securely anchored to the uterine fundus. The mean follow-up was 13 months.


CONCLUSIONS
These findings suggest benefits with this new bovine/porcine pericardial adhesion barrier for myomectomy. Controlled clinical trials are warranted.
Pelosi
Marco A
MA
Pelosi Women's Medical Center, 350 Kennedy Blvd., Bayonne, NJ, USA.
Pelosi
Marco A
MA
D000328:Adult; D000818:Animals; D001672:Biocompatible Materials; D002417:Cattle; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007813:Laparotomy / Q000009:adverse effects*; D007889:Leiomyoma / Q000601:surgery*; D008875:Middle Aged; D010496:Pericardium; D011183:Postoperative Complications / Q000517:prevention & control*; D019736:Prostheses and Implants; D013552:Swine; D000267:Tissue Adhesions / Q000517:prevention & control*; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000601:surgery*
D001672:Biocompatible Materials