How Can Pelvic Adhesions be Prevented?

From: Helen Dynda (
Fri Mar 2 10:55:46 2001

[] How Can Pelvic Adhesions be Prevented?

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[] How Can Pelvic Adhesions be Prevented?

Sites for Adhesion Formation

Adhesions can form on any surface in the pelvis or abdomen but they are more likely to form on some organs than on others. Common sites for adhesion formation are the ovaries, pelvic side walls and fallopian tubes. According to a study, the incidence of adhesion formation following surgery to these locations is as follows1 :

Ovaries (55%)

Pelvic side walls (40%)

Fallopian tubes (36%)

1. Diamond MP. Surgical Aspects of Infertility. In Sciarra JJ, Simpson JL, Speroff L, eds: Gynecology and Obstetrics , Philadelphia, 1991, JB Lippincott Co.

[] How Can Adhesion Formation be Prevented ?

Methods that can prevent or reduce adhesion formation include:

1.) Microsurgical techniques - New surgical techniques that minimize trauma, ischemia, foreign bodies, hemorrhage, raw tissue surfaces and infection can reduce adhesion formation.

2.) Drugs - The ability of various drugs to reduce post-operative adhesion formation has been evaluated, though no well-controlled study has demonstrated the efficacy of any of them.

3.) Barrier methods - One of the most promising methods of preventing adhesions due to surgery involves placement of a mechanical barrier between raw tissue surfaces. The barrier separates the tissue surfaces and prevents them from sticking to each other.

4.) Safe sex practices - Can reduce the incidence of adhesion formation caused by inflammation resulting from sexually transmitted diseases.

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