An adhesion barrier may induce peritonitis and abscess after laparoscopy-assisted myomectomy with vaginal extraction: report of a case.
Following a myomectomy, postoperative adhesions occur in many patients. Although laparoscopy has been shown to decrease the development of adhesions compared to laparotomy, adhesions still occur. There are several commercially available adhesion barriers but these are not designed to be easily applied during laparoscopic surgery. In this study, we report a case involving a 34-year-old patient who developed pelvic peritonitis and abscess without an obvious etiology; this might have been related to the off-label use of a bioabsorbable membrane converted into a slurry during recent surgery. Surgeons should be aware of such complications, which might be attributed to this product.
Ko
Ma-Lee
ML
Department of Obstetrics and Gynecology, Cheng Hsin General Hospital, Taipei, Taiwan, ROC.
Huang
Lee-Wen
LW
Chang
Jier-Zen
JZ
Hwang
Jian-Loung
JL
Pan
Hun-Shan
HS
D000328:Adult; D000464:Alginates / Q000009:adverse effects*; D005260:Female; D006801:Humans; D006820:Hyaluronic Acid / Q000009:adverse effects*; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D009215:Myometrium / Q000601:surgery*; D056687:Off-Label Use; D010538:Peritonitis / Q000139:chemically induced / Q000209:etiology*; D000267:Tissue Adhesions / Q000517:prevention & control*; D014621:Vagina / Q000601:surgery
D000464:Alginates; C118495:hyaluronate alginate; D006820:Hyaluronic Acid