Abstract:

Postoperative adhesions are a serious consequence of any type of intra-abdominal surgery and can result in infertility, pain, or bowel obstruction. Unfortunately, the paradox with adhesiolysis is that surgery performed to remove adhesions often results in further adhesion formation, so the problem persists and symptoms return and complications recur. Laparoscopic surgery with adherence to microsurgical techniques such as minimal tissue handling, rigorous attention to hemostasis, and copious irrigation was initially thought to minimize adhesion formation but such hopes have not been validated by clinical studies.

Authors:

Christopher Sutton, M.A., F.R.C.O.G., Professor of Gynecological Surgery, University of Surrey, Guildford, UK, Honorary Consultant Gynecologist, Royal Surrey County Hospital, Guildford, UK, Emeritus Consultant Gynecologist, Chelsea and Westminster Hospital, London, UK, Member of the Expert Adhesions Working Party of the European Society of Gynecological Endoscopy

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