Category: Adhesionsbarriers
Different types of adjuvants used to prevent adhesions?
Adhesion formation and reformation are still an unavoidable event in reproductive pelvic surgery in spite of the variable skills in microsurgery and endoscopic surgery.
This fact necessitates the search for barrier that can be used in the perioperative period.
There have various barriers or adjuvants that have been used but none have conclusively proven to be effective in various studies.
CLASSES OF ADHESION-REDUCTION ADJUVANTS AND THEIR PROPOSED MECHANISM OF ACTION
What is the principle how barriers prevent adhesions?
Adhesions are formed after all surgical measures involving laparotomy. But even during laparoscopy, which is a form of minimally invasive surgery, wound surfaces can be formed during certain procedures, such as for example endometriosis or myoma operations. These surfaces can adhere to each other, thus forming adhesions. These adhesions can later cause problems such as pain, adhesion of the uterine tubes (infertility) or of other organs (intestines / ovaries / uterus). They thus have the potential to cause chronic problems and pain requiring tedious treatment measures, and possibly even adhesiolysis, a follow-up surgical procedure to remove these adhesions. The long-term success of many different surgical procedures can be improved by the use of barriers that act as “internal bandages” and prevent adhesions Many of the available mechanical barriers in use today are derived from either industrial materials or animal sources. SprayShield™ (formerly SprayGel™) is a new barrier substance from Covidien to prevent postsurgical adhesions. SprayShield™, a largely water based tissue friend
