Baakdah Hanadi, Tulandi Togas
McGill University, Montreal, Quebec, Canada.
Surg Technol Int. 2005;14:185-90.
The objective of this chapter is to evaluate the magnitude of the problems of adhesions in Gynecology, complications, cost for the health care, and methods to prevent adhesion formation. It contains a review of relevant literature on intra-abdominal adhesion, adhesion-reducing substances, and their related cost. Adhesions can cause infertility, abdominal pain, or bowel obstruction. The impact of adhesions to the health-care system is huge. The total cost of adhesion-related problems in the United States is more than dollar 1 billion dollars annually. Modification in surgical technique, such as the use of laparoscopy, can minimize adhesion formation. Another approach is by using adhesion-reducing substances. Many substances and materials have been used to decrease the adhesion formation; however, there remains no unequivocally effective adhesion-reducing substance. Also, its use is costly. To our knowledge, no study has been published to date that addresses the use of adhesion-reducing substances as relates to the risk of bowel obstruction or long-term costs to the health-care system.
本章的目的是评估妇科领域粘连问题的严重程度、并发症、医疗保健成本以及预防粘连形成的方法。它包含了对有关腹腔内粘连、粘连减少物质及其相关成本的相关文献的综述。粘连可导致不孕、腹痛或肠梗阻。粘连对医疗保健系统的影响巨大。在美国，与粘连相关问题的总费用每年超过10亿美元。手术技术的改进，如使用腹腔镜检查，可将粘连形成降至最低。另一种方法是使用粘连减少物质。许多物质和材料已被用于减少粘连形成；然而，目前仍没有一种明确有效的粘连减少物质。此外，其使用成本高昂。据我们所知，迄今为止尚未发表任何研究来探讨粘连减少物质的使用与肠梗阻风险或医疗保健系统的长期成本之间的关系。
