Canis M, Botchorishvili R, Wattiez A, Rabischong B, Houlle C, Mage G, Pouly J L, Manhes H, Bruhat M A
Département de Gynécologie Obstétrique et Médecine de la Reproduction, CHU, boulevard Léon-Malfreyt, 63033 Clermont-Ferrand.
J Gynecol Obstet Biol Reprod (Paris). 2001 Jun;30(4):305-24.
Peritoneal adhesions are a major problem for health and economy. An adequate and atraumatic surgical technique is essential in the prevention of peritoneal adhesions. Laparoscopic microsurgery should be developed and promoted. The following conclusions can be proposed about the treatments available Adequately designed clinical studies are too rare. Future studies are necessary to obtain information on pregnancy and pain as primary outcomes. Cost implications of adhesion prevention treatments also have to be addressed.
腹膜粘连是一个重大的健康和经济问题。一种充分且无创的手术技术对于预防腹膜粘连至关重要。应发展和推广腹腔镜显微手术。关于现有治疗方法可得出以下结论:设计充分的临床研究极为罕见。有必要开展进一步研究以获取有关妊娠和疼痛作为主要结局的信息。粘连预防治疗的成本影响也必须加以探讨。