title: A method for the consistent creation and quantitative testing of postoperative pelvic adhesions in a porcine model.
abstract: BACKGROUND
  The assessment of methods for the prevention of postoperative pelvic adhesions is hampered by the lack of a quantifiable adhesion measurement technique. Currently available methods for adhesion model assessment rely on qualitative grading scales; a quantitative method would have many attendant benefits, including standardized reporting.
  
  
  METHODS
  A technique was developed to generate consistent and significant adhesions in a swine model that are suitable for quantitative assessment using a Material Testing System (MTS) machine platform. In this method, the uterine horns are cannulated and then attached to the pelvic sidewall using loose silk sutures. The underlying sidewall and adjacent uterine serosa are injured with electrocautery. Following a two-week survival the entire complex of uterine horn and sidewall are excised en bloc and prepared for MTS testing.
  
  
  RESULTS
  Extrication of the adhesion, as measured by the MTS platform, generates a quantitative assessment of adhesion strength that can be scaled and analyzed to produce several continuous variable descriptions.
  
  
  CONCLUSIONS
  This technique represents a novel quantitative method for adhesion assessment in an animal model. This quantitative technique may then be applied to accurately assess a range of adhesion prevention techniques, producing results which can be standardized for comparison.
authors.affiliation: Division of Surgical Research, Summa Health System/Akron City Hospital, Akron, Ohio, USA.
authors.forename: Maureen
authors.initials: M
authors.lastname: Cheung
authors.forename: Michelle
authors.initials: M
authors.lastname: Chapman
authors.forename: Mark
authors.initials: M
authors.lastname: Kovacik
authors.forename: Don
authors.initials: D
authors.lastname: Noe
authors.forename: Nicholas
authors.initials: N
authors.lastname: Ree
authors.forename: James
authors.initials: J
authors.lastname: Fanning
authors.forename: Bradford W
authors.initials: BW
authors.lastname: Fenton
mesh_terms: D000291:Adnexal Diseases; D000818:Animals; D004195:Disease Models, Animal; D005260:Female; D007813:Laparotomy / Q000379:methods*; D011183:Postoperative Complications; D013552:Swine; D000267:Tissue Adhesions / Q000517:prevention & control; D014599:Uterus / Q000601:surgery