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Query: UMLS:C0001511 (Adhesion)
 5,955 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Pelviscopic surgery was performed on 3300 patients for disorders that previously required laparotomy, a more complex operative procedure. In the majority of the cases, operations to correct sterility involving Fallopian tube disorders, e.g. salpingolysis, fimbrioplasty, salpingostomy, can be corrected at the same time the diagnostic procedure is performed. No pregnancies have been reported among 562 pelviscopic tubal sterilizations. Adhesions were treated successfully in 267 cases with pelviscopic surgery. A pelviscopic procedure is preferred for ovarial biopsy and the point biopsy of benign ovarial cysts. Special equipment and techniques have been developed for pelviscopic ovariectomy and myomectomy in certain cases. The complication rate for 3300 pelviscopic operations was 1.1%, comparable to that of laparotomy. In 1211 cases the operation was done for diagnostic purposes, in 1895 cases for operative-therapeutic purposes, and in 194 cases diagnosis and operation were performed simultaneously. In 49.6% of the cases, the pelviscopic operation reduced the hospitalization period, compared to laparotomy. In 1831 cases, pelviscopy was performed after a previou laparotomy. Pelviscopic procedures can be performed instead of laparotomy in 25% of the cases and 80% of the operations to correct sterility caused by Fallopian tube disorders.
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PMID:[Pelviscopic surgery in gynaecology (author's transl)]. 92

The range and nature of adhesions found out by means of laparoscopy was analysed in patients diagnosed because of infertility. 38% of patients had laparotomy performed previously. Adhesions concerned 47% of the reproductive organ, although in nearly the same percentage intestine and greater omentum were involved. In 13 (31%) patients occurrence of endometriosis focus was discovered. In the area of Fallopian tube--ovary there were most often non-vascularized, thin adhesions and solid adhesions in the area of Douglas sinus.
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PMID:[Laparoscopic evaluation of small pelvic adhesions in female patients treated for infertility]. 800 46

To assess the effect of the removal of ovarian surface epithelium on repair, a standard injury was induced in the ovaries of 10 rabbits. In one ovary the surface cells were denuded, and in the other they were left intact. The effect on adhesion formation was assessed at 12 days. Adhesions were assessed by visual inspection at laparotomy and histological examination of adhesion formation, including a stereological assessment of scar volume. On visual assessment the overall adhesion scores for the denuded ovaries were greater than for the intact ovaries. Histology showed the adhesions were attached only to the site of injury. The Fallopian tube was adherent to 35 and 4% of the denuded and intact ovarian segments respectively (P = 0.003). The scar volumes for each side were similar. After 12 days there was only partial re-epithelialization on the denuded ovaries. Electron microscopy confirmed the slow healing, with much of the surface still covered by a fibrinous-like exudate. The findings of this small study lend further weight to the importance of the surface epithelium in the control of adhesion formation. Standard surgical procedures may generate adhesions by the inadvertent denuding of surface epithelium from adjacent healthy tissues, possibly by the loss of plasminogen activator activity that is found in the mesothelium of the peritoneum. This study highlights the importance of controlling for inadvertent cell loss whilst investigating methods for adhesion prevention.
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PMID:Removal of the ovarian surface epithelium from the rabbit ovary--a cause of adhesions following a standard injury. 800 41