An Overview of Postoperative Intraabdominal Adhesions and Their Role on Female Infertility: A Narrative Review

Abstract

Postoperative intraabdominal adhesions can occur after more than 90% of gynecologic surgeries. They not only cause chronic pelvic pain and small bowel obstruction, but are also one of the main reasons for infertility. Adhesions are not only a burden for the affected patients, but are also a burden for the healthcare system, since the treatment of adhesion-associated complications costs a considerable amount of money. The gold standard for the diagnosis of adhesions is by laparoscopy, although other methods, such as transvaginal hydro-laparoscopy, are being discussed as better alternatives. Ideally, adhesions are avoided inherently, by operating carefully and by using microsurgical principles. If this is not possible, gel barriers have been shown to be successful in reducing postoperative adhesions.

Practice of Peritoneal Adhesions in Osteopathic Medicine: Part 2

“…Laparotomy is an invasive instrumental examination considered the approach of choice to verify the presence of peritoneal adhesions [ 4 ]. Another exam specifically used for the Douglas pouch area is transvaginal hydro-laparoscopy (also referred to as fertiloscopy); this examination can be performed with general or local anesthesia [ 4 ].…”

“…Laparotomy is an invasive instrumental examination considered the approach of choice to verify the presence of peritoneal adhesions [ 4 ]. Another exam specifically used for the Douglas pouch area is transvaginal hydro-laparoscopy (also referred to as fertiloscopy); this examination can be performed with general or local anesthesia [ 4 ]. The transabdominal ultrasound-guided examination evaluates the visceral sliding sign, but the result can be operator-dependent, and the examination cannot always highlight the presence of adhesions [ 4 ].…”

Hemoadhican-Based Bioabsorbable Hydrogel for Preventing Postoperative Adhesions

“…3,4 It causes various kinds of medical issues, such as diarrhea, chronic abdominopelvic pain, intestinal obstruction, and female infertility. 5,6 Postoperative peritoneal adhesions can significantly decrease the quality of life for patients and impose additional financial burdens on healthcare systems. 6,7 The development of a reliable and efficient strategy to prevent postoperative peritoneal adhesions is crucial in clinical settings.…”

“…Postoperative peritoneal adhesions are a common clinical complication that occur after open pelvic or abdominal surgery, with morbidity rates exceeding 90%. , Surgical injury to the inner lining of the peritoneum results in fibrous deposition, leading to the formation of adhesions between the abdominal wall and adjacent organs or tissues. , It causes various kinds of medical issues, such as diarrhea, chronic abdominopelvic pain, intestinal obstruction, and female infertility. , Postoperative peritoneal adhesions can significantly decrease the quality of life for patients and impose additional financial burdens on healthcare systems. , The development of a reliable and efficient strategy to prevent postoperative peritoneal adhesions is crucial in clinical settings.…”

A Prospective Study to Evaluate the Role of Combined Diagnostic Laparoscopy and Hysteroscopy in the Management of Female Infertility

“…However, the evaluation and treatment of infertility have changed remarkably during these years [ 2 ]. Tuboperitoneal pathology is responsible for infertility in 40-50% of the cases while uterine pathology accounts for 15-20% of cases [ 3 , 4 ]. Other factors include ovulatory dysfunction (30-40%) and male factors (30-40%) [ 5 ].…”