Tulandi T
Department of Obstetrics and Gynecology, McGill University Montreal, Quebec, Canada.
Int J Fertil Menopausal Stud. 1996 Sep-Oct;41(5):452-7.
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.
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。