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腹腔镜手术中的粘连预防

Adhesion prevention in laparoscopic surgery.

作者信息

Tulandi T

机构信息

Department of Obstetrics and Gynecology, McGill University Montreal, Quebec, Canada.

出版信息

Int J Fertil Menopausal Stud. 1996 Sep-Oct;41(5):452-7.

PMID:8934252
Abstract

Adhesions are a common sequela of laparoscopic surgery, even though they are reduced by as much as three-fourths in comparison with laparotomy. The main factors as found in the literature for decreasing adhesions post-laparoscopy are: meticulous technique and microsurgical principles, hemostasis, and liberal irrigation with Ringer's lactate or other instillates. Barrier materials offer promise for adhesion prevention, and estrogen antagonists, too, warrant further investigation.

摘要

粘连是腹腔镜手术常见的后遗症,尽管与开腹手术相比,其发生率降低了多达四分之三。文献中发现的腹腔镜术后减少粘连的主要因素包括:精细的技术和显微外科原则、止血以及用乳酸林格氏液或其他灌注液大量冲洗。屏障材料有望预防粘连,雌激素拮抗剂也值得进一步研究。

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A prospective, randomised, controlled, double-blind phase I-II clinical trial on the safety of A-Part Gel as adhesion prophylaxis after major abdominal surgery versus non-treated group.一项关于A-Part凝胶在腹部大手术后预防粘连安全性的前瞻性、随机、对照、双盲I-II期临床试验,与未治疗组进行对比。
BMC Surg. 2010 Jul 6;10:20. doi: 10.1186/1471-2482-10-20.