Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8728790 | Journal de Chirurgie Viscérale | 2018 | 5 Pages |
Abstract
Peritoneal adhesions remain a major public health problem despite the development of laparoscopy. The rules of microsurgery must be known and followed during any pelvic surgery, even in patients who no longer have a desire for pregnancy. Anti-adhesion products are numerous. All have interest, confirmed by anatomical studies showing a smaller extent or a lesser severity of adhesions associated with their use. No studies, however, show clinical benefit in terms of improved pain or post-operative fertility. Pneumoperitoneum parameters, humidification, and lower abdominal pressure should be optimized to limit peritoneal trauma. Peri-operative corticosteroids, whose benefit has been has been demonstrated in at least one randomized trial, should be systematically used.
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Authors
M. Canis, R. Botchorishvili, N. Bourdel, A.S. Gremeau, S. Curinier, B. Rabischong,