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Title: Preventing adhesions in laparoscopic surgery: the role of anti‐adhesion agents.
Authors: Aref-Adib, Mehrnoosh
Other Authors: Phan, Timothy
Ades, Alex
Keywords: Laparoscopy
Tissue Adhesions
Adhesion Formation
Gynaecological Surgery
Small Bowel Obstruction
Chronic Pelvic Pain
Deep Dyspareunia
Female Subfertility
Anti‐Adhesive Agents
Adhesion Prevention
Laparoscopic Gynaecological Surgery
General Surgery and Gastroenterology Clinical Institute, Epworth HealthCare, Melbourne, Victoria, Australia
Issue Date: 26-May-2019
Publisher: Wiley-Blackwell
Abstract: KEY CONTENT: Surgical injury causes the release of cytokines, growth factors, cell adhesion molecules and histamine, creating an inflammatory response, which can lead to adhesion formation in the peritoneal cavity. Compared with open surgery, laparoscopy reduces the risk of adhesion formation, but the risk is not completely eliminated. Adhesion formation is multifactorial and depends on patient healing, surgical technique and equipment factors. Adhesions after gynaecological surgery can have long‐term consequences including small bowel obstruction, chronic pelvic pain, deep dyspareunia and female subfertility. There are a variety of anti‐adhesion agents with different properties available for use in laparoscopic surgery.
ISSN: 1467-2561
Journal Title: The Obstetrician & Gynaecologist
Type: Journal Article
Affiliated Organisations: Department of Obstetrics and Gynaecology, Royal Women's Hospital, University of Melbourne, Melbourne, Victoria, Australia
Appears in Collections:General Surgery and Gastroenterology

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