Adhesion prevention in gynecologic surgery
Adhesion prevention in gynecologic surgery
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DOI：
10.1097/00006254-200405000-00024
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发表时间：
2004-05-01
影响因子：
6.2
通讯作者：
Tulandi, T
中科院分区：
文献类型：
--
作者：
Al-Jaroudi, D;Tulandi, T
这项研究的目的是评估手术后粘连的临床程度，它们对医院预算的影响，以及可用的粘连减少物质。我们对有关腹内粘连、粘连减少物质及其相关成本的文献进行了综述。粘连与妇科的相关性不仅与不孕不育和腹痛有关，还与肠梗阻的发生有关。已有许多物质和材料用于减少粘连的形成。然而，仍然没有一种减粘物质是明确有效的。它的使用成本也很高。小肠梗阻最常见的原因是术后粘连。事实上，超过一半的粘连性小肠梗阻患者曾接受过妇科手术，其中很高比例发生在开腹子宫切除术后。到目前为止，还没有研究表明使用粘连减少物质可以降低肠梗阻的风险或降低医疗保健系统的长期成本。人们期待已久的明确防止粘连形成的物质或屏障尚未到来。
The objectives of this study are to evaluate the magnitude of postsurgical adhesions clinically, their impact on the hospital budget, and the available adhesion-reducing substances. We conducted a review of relevant literature on intraabdominal adhesion, adhesion-reducing substances, and their related cost. The relevance of adhesions to gynecology not only relates to infertility and abdominal pain, but also to the occurrence of bowel obstruction. There have been many substances and materials used to decrease the adhesion formation. However, there is still no adhesion-reducing substance that is unequivocally effective. Its use is also costly. The most common cause of small-bowel obstruction is postsurgical adhesions. Indeed, more than one half of patients with adhesion-related small-bowel obstruction had previous gynecologic operations, and a high percentage occurs after abdominal hysterectomy. To date, there has been no study suggesting that the use of adhesion-reducing substances decreases the risk of bowel obstruction or the long-term costs to the healthcare system. The long-awaited substance or barrier that unequivocally prevents adhesion formation is yet to come.