Pelvic adhesions and fertility: Where are we in 2018?
J Visc Surg
; 155 Suppl 1: S11-S15, 2018 06.
Article
in En
| MEDLINE
| ID: mdl-29784584
ABSTRACT
Peritoneal adhesions remain a major public health problem despite the development of laparoscopy. The rules of microsurgery must be known and followed during any pelvic surgery, even in patients who no longer have a desire for pregnancy. Anti-adhesion products are numerous. All have interest, confirmed by anatomical studies showing a smaller extent or a lesser severity of adhesions associated with their use. No studies, however, show clinical benefit in terms of improved pain or postoperative fertility. Pneumoperitoneum parameters, humidification, and lower abdominal pressure should be optimized to limit peritoneal trauma. Peri-operative corticosteroids, whose benefit has been has been demonstrated in at least one randomized trial, should be systematically used.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Peritoneal Diseases
/
Postoperative Complications
/
Tissue Adhesions
/
Laparoscopy
/
Infertility
/
Microsurgery
Type of study:
Clinical_trials
/
Etiology_studies
Limits:
Humans
Language:
En
Journal:
J Visc Surg
Journal subject:
GASTROENTEROLOGIA
Year:
2018
Document type:
Article