Laparoscopic implant of Gore-Tex surgical membrane
| Autor: | Deborah Metzger, Steven N. Taylor, Bradley S. Hurst, Harry Reich, Mark Perloe, Guillermo Rowe, George A. Hill, David N. Curole, William Schalff, Ana A. Murphy, Joseph Sanfillipo, Jack Crain, Richard Wing |
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| Rok vydání: | 1995 |
| Předmět: |
Reoperation
Laparoscopic surgery medicine.medical_specialty Time Factors Reproductive surgery medicine.medical_treatment Endometriosis Adhesion (medicine) Tissue Adhesions Pelvic Pain Laparotomy Surgical Stapling Humans Medicine Prospective Studies Ligation Polytetrafluoroethylene Leiomyoma Sutures business.industry Uterus Obstetrics and Gynecology Membranes Artificial Genitalia Female Adhesion barrier Surgical Mesh medicine.disease Laparoscopes Surgery Oxidized regenerated cellulose Surgical mesh Evaluation Studies as Topic Uterine Neoplasms Vagina Female Laparoscopy Implant business Infertility Female Follow-Up Studies |
| Zdroj: | The Journal of the American Association of Gynecologic Laparoscopists. 2:417-420 |
| ISSN: | 1074-3804 |
| Popis: | One of the major postoperative complications of reproductive surgery is the formation of adhesions. 1, 2 Over the past several decades a number of methods have been explored to solve this problem, g, 4 Recently there has been renewed interest in covering the damaged peritoneal surface with an absorbable or nonabsorbable barrier as a means of preventing adhesions after fertility-enhancing surgery. Currently two barriers are commercially available for clinical use: Interceed Absorbable Adhesion Barrier (Ethicon, Somerville, NJ), which is composed of oxidized regenerated cellulose, and the Gore-Tex Surgical Membrane (W. L. Gore & Associates, Inc., Flagstaff, AZ), constructed of expanded polytetrafluoroethylene (e-PTFE). Interceed has been investigated both experimentally and clinically and has proved effective in some circumstances. 5, 6 Studies also report on the laparoscopic application of Interceed in fertility-enhancement procedures.7, 8 Recent reports, however, have questioned the product 's degree of effectiveness and raised concern about possible residual effects it may have on peritoneal tissue? 11 GoreTex Surgical Membrane has been indicated for use in peritoneal reconstruction since 1983, and experimental and clinical reports describe its effectiveness in preventing adhesion formation. 12-14 Interceed is an absorbable material that is phagocytized by macrophages within 1 month. Gore-Tex Surgical Membrane is nonabsorbable and is intended to be a permanent implant. Since all published reports on the clinical application of the Gore-Tex membrane discuss implantation by laparotomy, ~g, 14 the ease of use of this product in laparoscopic surgery is of particular interest. Moreover, because of its permanence, its long-term safety and effectiveness merit examination. A prospective, multicenter clinical study was undertaken to evaluate the ease of using Gore-Tex Surgical Membrane laparoscopically. |
| Databáze: | OpenAIRE |
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