Holtz G, Kling O R
Fertil Steril. 1982 Apr;37(4):494-6.
The effectiveness of macrosurgical and microsurgical techniques for adhesion management was evaluated in nonpregnant female baboons that had significant pelvic adhesions as a sequela of previous surgery. Two weeks after the initial laparotomy the animals were reoperated upon and adhesion reformation assessed. Mean adhesion scores were not significantly different between the macrosurgery and microsurgery groups before or after lysis. However, the reduction in the mean adhesion score following lysis approached significance (P less than 0.1) in the microsurgical group, whereas it did not in the macrosurgical group. This study does not confirm that the use of microsurgery in adhesion management is clearly superior but does suggest it may be slightly more effective in reducing adhesion reformation.
在先前手术导致严重盆腔粘连的未孕雌性狒狒中,评估了宏观手术和微观手术技术处理粘连的有效性。初次剖腹手术后两周,对这些动物再次进行手术,并评估粘连的重新形成情况。在粘连松解前后,宏观手术组和微观手术组的平均粘连评分没有显著差异。然而,微观手术组在粘连松解后平均粘连评分的降低接近显著水平(P小于0.1),而宏观手术组则没有。这项研究并未证实微观手术在处理粘连方面明显更优,但确实表明它在减少粘连重新形成方面可能略有效。