title: Adhesions are the major cause of complications in operative gynecology.
abstract: Adhesion formation has been found to be highly prevalent in patients with a history of operations or inflammatory peritoneal processes. These patients are at a high risk of serious intraoperative complications during a subsequent operation if adhesiolysis is performed. These complications include bowel perforation, ureteral or bladder injury, and vascular injury. In order to minimize the risk of these complications, adhesiolysis should only be performed by experienced surgeons, and intraoperative strategies must be adopted. The reduction of the overall incidence of adhesions is essential for subsequent surgical treatments. Anti-adhesion strategies must be adopted for preventing the reoccurrence of adhesions after abdominopelvic operations. The strategies employed to reduce the risk and the overall incidence of adhesions have been elucidated in this article.
authors.affiliation: Clinic of Gynecology, Obstetrics and Gynecological Oncology, University Hospital for Gynecology, Pius-Hospital Oldenburg, Medical Campus, University of Oldenburg, Germany. Electronic address: gyn-sekretariat@pius-hospital.de.
authors.forename: Anja
authors.initials: A
authors.lastname: Herrmann
authors.affiliation: Clinic of Gynecology, Obstetrics and Gynecological Oncology, University Hospital for Gynecology, Pius-Hospital Oldenburg, Medical Campus, University of Oldenburg, Germany.
authors.forename: Rudy Leon
authors.initials: RL
authors.lastname: De Wilde
mesh_terms: D001808:Blood Vessels / Q000293:injuries; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology*; D007431:Intraoperative Complications / Q000209:etiology* / Q000517:prevention & control; D010535:Laparoscopy / Q000009:adverse effects*; D012008:Recurrence; D000267:Tissue Adhesions / Q000150:complications* / Q000517:prevention & control*; D014513:Ureter / Q000293:injuries
keywords: adhesions; bowel injury; complications; laparoscopy; ureteral injury; vascular injury