Pelvic Adhesions...Michael P. Diamond, M.D.

From: Helen Dynda (olddad66@runestone.net)
Sat Sep 7 18:42:42 2002


X> Pelvic Adhesions...by Michael P. Diamond, M.D. http://matweb.hcuge.ch/El_Mowafi/Pelvic_adhesions.htm

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* Pathophysiology of Adhesion Development

* Staging of Adhesions

* Surgery or Assisted Reproductive Techniques?

.....a.) Getting into the abdomen: Laparoscopy versus Laparotomy

.....b.) Surgery inside the abdomen: 1.) Microsurgery; 2.) Laser Endoscopic Surgery

* Value of Second-Look Laparoscopy (SLL)

* Adjuvants for adhesion reduction

.....1. Fibrinolytic agents

.....2. Anticoagulants

.....3. Anti-inflammatory Agents

.....4. Antibiotics

.....5. Mechanical Separation (surface separation, hydroflotation)

..........A. Intra-abdominal instillates

..........B. Barriers

* Conclusion

" Pelvic adhesion development after gynecological operations and their reformation after adhesiolysis still, up until now, a problem that presents itself in the form of infertility, pelvic pain and/or intestinal obstruction."


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