Enrico S, Pecchio A, Mineccia M, Mello Teggia P
Divisione di Chirurgia Generale, Ospedale Luigi Gonzaga, Orbassano (Torino).
Minerva Chir. 1996 Apr;51(4):223-6.
The formation of adhesions after abdominal surgery is a very frequent event, often burdened by complications. Different techniques and materials have been tested in order to reduce peritoneal damage and the onset of adhesions. While the introduction of improved surgical techniques has been decisive, the use of drugs and irritating solutions has not produced significant results. Promising results have been obtained by the use of barrier systems that allow the peritoneal surfaces to be mechanically separated during healing and re-epithelialization: Interceed (TC7)--Absorbable Adhesion Barrier--appears to be the most appropriate material for this purpose at present, given that it has been demonstrated to be of use in reducing both the incidence and extent of adhesions. The use of this material in general surgery over the past to years or so appears to the authors to be indicated in the event of secondary abdominal surgery with detachment and extensive peritoneal damage, and in more restricted surgery performed on the true pelvis in women of child-bearing age.
腹部手术后粘连的形成是非常常见的事件，常常伴有并发症。为了减少腹膜损伤和粘连的发生，人们已经测试了不同的技术和材料。虽然改进手术技术的引入起了决定性作用，但药物和刺激性溶液的使用并未产生显著效果。通过使用屏障系统获得了有希望的结果，该系统可在愈合和重新上皮化过程中使腹膜表面机械分离：Interceed（TC7）——可吸收粘连屏障——鉴于已证明其在降低粘连发生率和程度方面有用，目前似乎是用于此目的的最合适材料。在作者看来，过去几年左右在普通外科中使用这种材料适用于伴有分离和广泛腹膜损伤的二次腹部手术，以及在育龄女性的真骨盆进行的更受限手术。
