4.5 Review

Postoperative Adhesions as a Consequence of Pelvic Surgery

Journal

JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
Volume 22, Issue 4, Pages 549-563

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.jmig.2014.12.009

Keywords

ADEPT; Adhesions; Bowel obstruction; Hypoxia; Infertility; Inflammation; Interceed; Laparoscopic; Seprafilm

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Adhesions represent a frequent thought-provoking surgical ramification that greatly affects clinical practice, thereby making adhesion deterrence an important area of public health intervention, research, and the fiscal budget. Postoperative adhesions have been observed in up to 94% of patients after laparotomy. Adhesion-related readmissions, 1 year after surgery, were found to be in 1.3% to 1.5% of the therapeutic and diagnostic laparoscopic procedures. This systematic review looks at gynecologic experience with the management of postoperative adhesions and related complications and recommends intervention when data permits. (C) 2015 AAGL. All rights reserved.

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