title: Efficient and safe small-bowel adhesiolysis.
abstract: Small-intestine adhesiolysis can be very time consuming and may be associated with bowel wall damage. The risk for injuries to the small or large bowel resulting in increased morbidity and costs is considerable. Both efficient and gentle dissection of adhesions is important in order to avoid intraoperative perforation or, worse, postoperative intestinal leaks. We present a technique using drops of body-warm isotonic saline solution to create an edematous swelling of the adhesions. This procedure not only protects the bowel from cooling and drying, but also simplifies the dissection and, thus, lowers the risk of intestinal lesions.
authors.affiliation: Department of Visceral and Transplantation Surgery, Inselspital, University of Bern, Bern, Switzerland.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Klasen
authors.forename: Anna
authors.initials: A
authors.lastname: Wenning
authors.forename: Federico
authors.initials: F
authors.lastname: Storni
authors.forename: Eliane
authors.initials: E
authors.lastname: Angst
authors.forename: Beat
authors.initials: B
authors.lastname: Gloor
mesh_terms: D003131:Combined Modality Therapy / Q000379:methods; D004210:Dissection / Q000379:methods; D006801:Humans; D007415:Intestinal Obstruction / Q000628:therapy*; D007421:Intestine, Small; D061214:Patient Safety; D012965:Sodium Chloride / Q000627:therapeutic use*; D000267:Tissue Adhesions / Q000628:therapy; D016896:Treatment Outcome
chemical_list: D012965:Sodium Chloride