Prevention of adhesions in gynaecological surgery: the 2012 European field guideline
Autor: | Rudy Leon De Wilde, Adrian M. Lower, Per Lundorff, Philippe R. Koninckx, Markus Wallwiener, Arnaud Wattiez, Michal Mara, Hans A.M. Brölmann |
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Rok vydání: | 2012 |
Předmět: |
medicine.medical_specialty
Adhesiolysis medicine.diagnostic_test business.industry Adhesions Reproductive medicine Endometriosis Obstetrics and Gynecology Adhesion (medicine) Interventional radiology Guideline Anti-adhesion agents medicine.disease Surgery Adhesion prevention Surgical oncology Informed consent Perspective Obstetrics and Gynaecology Medicine business Treatment guideline Abdominal surgery |
Zdroj: | Gynecological Surgery |
ISSN: | 1613-2084 1613-2076 |
DOI: | 10.1007/s10397-012-0764-2 |
Popis: | Postoperative adhesions have become the most common complication of open or laparoscopic abdominal surgery and a source of major concern because of their potentially dramatic consequences. The proposed guideline is the beginning of a major campaign to enhance the awareness of adhesions and to provide surgeons with a reference guide to adhesion prevention adapted to the conditions of their daily practice. The risk of postoperative adhesions should be systematically discussed with any patient scheduled for open or laparoscopic abdominal surgery prior to obtaining her informed consent. Surgeons should adopt a routine adhesion reduction strategy with good surgical technique. Anti-adhesion agents are an additional option, especially in procedures with a high risk of adhesion formation, such as ovarian, endometriosis and tubal surgery and myomectomy. We conclude that good surgical practice is paramount to reduce adhesion formation and that anti-adhesion agents may contribute to adhesion prevention in certain cases. |
Databáze: | OpenAIRE |
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