Adhesion Formation After Laparoscopic Surgery in Tubal Pregnancy

Lundorff, Per; Hahlin, Mats; Källfelt, Björn; Thorburn, Jane; Lindblom, Bo

doi:10.1097/00006254-199203000-00018

Cited by 96 publications

(123 citation statements)

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“…But the tubal patency were same in both groups. 13 5. Another study, conducted by Xiang in China, on 142 patients compared the result of laparoscopic surgery and laparotomy in management of ectopic pregnancy.…”

Section: Resultsmentioning

confidence: 99%

“…19 Many authors conducted a randomized, prospective, retrospective clinical trial on duration in laparoscopy and laparotomy and found that laparoscopic surgery required less time than laparotomy. 10,13,14 One study found that the laparoscopic surgery took 73 minutes vs. 88 minutes in laparotomy group. 23 Chatwani et al 9 conducted a nonrandomized study and found significant decrease in blood transfusion rate in laparoscopic group.…”

Section: Discussionmentioning

confidence: 99%

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Role of Laparoscopy in Management of Ectopic Pregnancy

2015

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Role of Laparoscopy in Management of Ectopic Pregnancy

2015

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“…Surgical technique is important to prevent adhesion formation after pelvic surgery [9]. Laparoscopic surgery is associated with less risk of adhesion formation as compared to laparotomy [12,[15][16][17]. Our surgical technique of laparoscopic excision with scissors dissection, minimal use of diathermy, gentle tissue handling, meticulous haemostasis and copious irrigation prevents charring of tissues due to thermal injury.…”

Section: Duration In Months Number Of Patientsmentioning

confidence: 99%

Pelvic adhesion formation at second-look surgery after laparoscopic partial and total peritoneal excision for women with endometriosis

Oboh¹,

Trehan²

2007

Gynecol Surg

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The purpose of this study was to determine the incidence of pelvic adhesion formation at second-look surgery after laparoscopic excision of the pelvic peritoneum for pelvic endometriosis. The setting was a district hospital in the UK with a specialised unit for laparoscopic surgical treatment of endometriosis; this was a retrospective study. We used data from the hospital computer database to identify patients who had undergone laparoscopic excision of pelvic endometriosis from April 1998 to March 2004. All subsequent admissions for surgery (laparoscopic or open) were reviewed for the presence of pelvic adhesions as documented in the records and collaborated with photographs from surgery. Forty-eight cases were identified from a cohort of 236 patients who initially had laparoscopic excision of pelvic peritoneum affected with endometriosis. Forty-six had laparoscopic surgery and two had open surgery. At second look surgery, 44 patients (91.7%) had no de-novo pelvic adhesions in the areas where the initial excision was performed. Four patients (8.3%) had filmy adhesions in the pelvis; these patients had other surgical procedures (two had LAVH) or on-going disease (one with recto-vaginal endometriosis nodule and the other with ovarian endometrioma at initial surgery). There were no dense or significant pelvic adhesions. Laparoscopic excision of the pelvic peritoneum as a treatment for pelvic peritoneal endometriosis is not associated with significant pelvic adhesion formation.

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“…По данным литературы [8][9][10], несмотря на ма-лоинвазивность, лапароскопическая хирургия, по сравнению с открытыми вмешательствами, практи-чески не снижает частоту и распространенность спа-ечного процесса.…”

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“…[8], при операциях по поводу эктопи-ческой трубной беременности различий по частоте образования спаек после лапаротомии и лапароско-пии выявлено не было. Количество случаев насту-пления беременности и сохраняющегося бесплодия после разного рода вмешательств также было оди-наковым.…”

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The risk of postoperative adhesions in gynecology and their prevention

Тихомиров¹,

Gevorkyan²,

Sarsaniya³

2016

Probl. reprod.

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В связи с увеличением общего количества хирур-гических вмешательств в акушерстве и гинекологии, широким распространением повторных лапароско-пических операций (диагностические, малоинва-зивные вмешательства на яичниках и маточных тру-бах, повторные лапароскопические вмешательства по поводу эндометриоза, лапароскопические миом-эктомии и др.) в последнее время наблюдается тен-денция к увеличению числа пациенток со спайками в малом тазу и полости матки. В гинекологии тазо-вые перитонеальные спайки после операций диагно-стируют у 15-80% пациенток. Самым частым ме-стом локализации спаек являются яичники и маточ-ные трубы: одно-или двусторонняя окклюзия ма-точных труб вследствие спаечного процесса форми-руется у 15% пациенток после обычной аппендэкто-мии, окклюзия маточных труб вследствие спаечного процесса развивается у 60-80% пациенток после оперативных вмешательств на яичниках, по поводу трубной беременности, особенно выполненных по экстренным показаниям [1,2].Резидуальными осложнениями спаечного про-цесса малого таза являются: абдоминальный/тазо- Прогноз в отношении репродуктивной функции и качества дальнейшей жизни при гинекологических операциях во многом определяется возможным спаечным процессом. Адекватная интраоперационная антиадгезивная профилактика в гинекологии с использованием комплексного геля, содержащего в своем составе гиалуроновую кислоту и карбоксиметилцеллюлозу, способствует снижению риска образования спаек в малом тазу и их резидуальных осложнений. Forecast with respect to of reproductive function and quality of further life after gynecological operations is mainly determined by possible postoperative adhesions. Adequate intra-operating antiadhesivе prevention with the use of a complex gel which contains hyaluronic acid and carboxymethylcellulose contributes to reduction the risk of the pelvic adhesions and adhesion-related complications.

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Adhesion Formation After Laparoscopic Surgery in Tubal Pregnancy

Cited by 96 publications

References 0 publications

Role of Laparoscopy in Management of Ectopic Pregnancy

Role of Laparoscopy in Management of Ectopic Pregnancy

Pelvic adhesion formation at second-look surgery after laparoscopic partial and total peritoneal excision for women with endometriosis

The risk of postoperative adhesions in gynecology and their prevention

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