Outcomes of adhesion barriers in gynecologic surgeries: A retrospective study at a medical center
| Autor: | Ci Huang, Dah-Ching Ding |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Postoperative ileus Treatment outcome Adhesion (medicine) Observational Study Tissue Adhesions Four quadrants Seprafilm Interceed Icodextrin 03 medical and health sciences 0302 clinical medicine Gynecologic Surgical Procedures Postoperative Complications SurgiWrap medicine Severe pain Humans Cellulose Oxidized 030212 general & internal medicine Hyaluronic Acid Retrospective Studies business.industry Retrospective cohort study General Medicine Adhesion barrier medicine.disease Adept Surgery Treatment Outcome Second-Look Surgery 030220 oncology & carcinogenesis adhesion barrier Pelvic adhesion Female business Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 |
| Popis: | During second-look surgery or hospitalization, intra-abdominal surgeries may cause severe postoperative complications, such as pelvic adhesion, postoperative ileus, and severe pain. However, only few studies have analyzed the outcomes of antiadhesive barriers in second-look surgery. This retrospective study aims to identify the outcomes of different antiadhesive barriers by analyzing surgical images. The study included patients who received an adhesion barrier during second-look surgery between January 2011 and November 2017. Four brands of adhesive barriers were used: Interceed, Seprafilm, Adept, and SurgiWrap. Adhesion scores were calculated for four quadrants of the uterus and surrounding structures before and after the use of antiadhesive barriers. The differences between the data of 2 observers and surgery times were also determined. A total of 18 patients were enrolled in the study. The adhesion scores were not significantly different before and after the placement of antiadhesive barriers. The difference in the adhesion scores between the two observers was also not significant, except in the Seprafilm group (P = .029). Furthermore, no significant change in the adhesion scores was observed between the first and second surgeries. Therefore, using adhesion barriers may not decrease the adhesion scores in the current setting. |
| Databáze: | OpenAIRE |
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