title: Use of Modified Polysaccharide 4DryField (®) PH for Adhesion Prevention and Hemostasis in Gynecological Surgery: A Two-Center Observational Study by Second-Look Laparoscopy.
abstract: Purpose. This study evaluates both scopes of 4DryField PH, certified for adhesion prevention and hemostasis, in patients undergoing surgery for various and severe gynecological disorders. Methods. This is a two-institutional study. Adhesion prevention efficacy was evaluated using video documentation of first-look laparoscopies (FLL) and second-look laparoscopies (SLL); other patient data were analyzed retrospectively. Twenty patients with various disorders were evaluated, 4 assigned to a uterus pathology, 10 to endometriosis, and 6 to an adhesion disease group. Nine patients received 4DryField primarily for hemostasis and 11 solely for adhesion prevention. Nineteen patients had SLL after 5 to 12 weeks and one after 13 months. Results. At FLL with 4DryField, immediate hemostasis could be achieved in diffuse bleeding. At SLL, effective adhesion prevention was observed in 18 of all 20 women, with only 2 revealing major adhesions. In particular, only 1 of the 6 women with adhesion disease as predominant disorder showed major adhesions at SLL. Conclusions. Modified polysaccharide 4DryField is not only effective in diffuse bleeding. In this cohort with extensive surgery for various gynecological pathologies, 4DryField showed effective adhesion prevention as confirmed at SLL, too. Its use as premixed gel is a convenient variant for treatment of large peritoneal wounds.
authors.affiliation: Department of Obstetrics and Gynecology, Johanna-Etienne-Hospital, 41462 Neuss, Germany; Teaching Hospital of Heinrich Heine-University Duesseldorf, 40225 Düsseldorf, Germany.
authors.forename: Matthias
authors.initials: M
authors.lastname: Korell
authors.affiliation: Clinic of Gynecology, Obstetrics and Gynecological Oncology, University Hospital for Gynecology, Pius Hospital Oldenburg, Medical Campus University of Oldenburg, Germany.
authors.forename: Nicole
authors.initials: N
authors.lastname: Ziegler
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: D000293:Adolescent; D000328:Adult; D005260:Female; D005831:Genital Diseases, Female / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects; D006470:Hemorrhage / Q000188:drug therapy / Q000473:pathology; D006487:Hemostasis / Q000187:drug effects; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D011134:Polysaccharides / Q000008:administration & dosage*; D011183:Postoperative Complications / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery; D000267:Tissue Adhesions / Q000188:drug therapy* / Q000473:pathology; D014599:Uterus / Q000187:drug effects / Q000473:pathology
chemical_list: D011134:Polysaccharides