Nazarenko A A, Akimov V P
N.D. Monastyrsky Department of Surgery, Mechnikov Northwestern State Medical University, St. Petersburg, Russia.
Khirurgiia (Mosk). 2016(8):83-85. doi: 10.17116/hirurgia2016883-85.
Adhesions commonly result from abdominal and pelvic surgical procedures and may result in intestinal obstruction, infertility, chronic pain, or complicate subsequent operations. Laparoscopy produces less peritoneal trauma than does conventional laparotomy and may result in decreased adhesion formation. We present a review of the available data on laparoscopy and adhesion formation, as well as laparoscopic adhesiolysis. We also review current adjuvant techniques that may be used by practicing laparoscopists to prevent adhesion formation.
粘连通常由腹部和盆腔外科手术引起，可能导致肠梗阻、不孕、慢性疼痛，或使后续手术复杂化。与传统剖腹手术相比，腹腔镜检查对腹膜的创伤较小，可能会减少粘连的形成。我们对有关腹腔镜检查与粘连形成以及腹腔镜粘连松解术的现有数据进行综述。我们还综述了执业腹腔镜医师可能用于预防粘连形成的当前辅助技术。
