Evaluation of Postoperative Adhesions in a Subsequent Cesarean Section Following the Use of Dextrin Hydrogel Spray as Adhesion Barrier for Laparoscopic Myomectomy
Objectives: Laparoscopic myomectomy (LM) is a procedure with a high rate of postoperative adhesions, which can lead to complications such as bowel obstruction and subsequent surgical problems, making anti-adhesion measures important. Various anti-adhesion materials are already on the market and have...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-10-01
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| Series: | Gynecology and Minimally Invasive Therapy |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/gmit.gmit_2_24 |
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| _version_ | 1850181041963139072 |
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| author | Shinichiro Wada Yoshiyuki Fukushi Tomono Shimabukuro Sachiko Matsumoto Mai Nishimura Makiko Nakatani Ayako Nakajima |
| author_facet | Shinichiro Wada Yoshiyuki Fukushi Tomono Shimabukuro Sachiko Matsumoto Mai Nishimura Makiko Nakatani Ayako Nakajima |
| author_sort | Shinichiro Wada |
| collection | DOAJ |
| description | Objectives:
Laparoscopic myomectomy (LM) is a procedure with a high rate of postoperative adhesions, which can lead to complications such as bowel obstruction and subsequent surgical problems, making anti-adhesion measures important. Various anti-adhesion materials are already on the market and have shown efficacy, but dextrin hydrogel spray (AdSpray™), an anti-adhesion material launched in 2017, has not yet been reported in the field of gynecology, although there are papers showing its usefulness in the surgical field such as repeat hepatectomy and ileostomy closure. Thereby, we investigated the postoperative status of AdSpray™ in LM.
Materials and Methods:
We report 24 cases in which AdSpray™ was used at Teine Keijinkai Hospital from 2018 to 2021 for LM, followed by cesarean section (CS) from 2019 to 2022. Adverse effects related to AdSpray™ and the presence of uterine adhesions in CS were examined.
Results:
Adhesions were observed in 4 (16.7%) cases, none of which resulted in significant adverse effects of AdSpray™.
Conclusion:
AdSpray™ was effective in preventing adhesion and may be an option as an anti-adhesion material in LM. |
| format | Article |
| id | doaj-art-3aedfdd043d04576aa5719d8f0524713 |
| institution | OA Journals |
| issn | 2213-3070 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Gynecology and Minimally Invasive Therapy |
| spelling | doaj-art-3aedfdd043d04576aa5719d8f05247132025-08-20T02:17:59ZengWolters Kluwer Medknow PublicationsGynecology and Minimally Invasive Therapy2213-30702024-10-0113422823110.4103/gmit.gmit_2_24Evaluation of Postoperative Adhesions in a Subsequent Cesarean Section Following the Use of Dextrin Hydrogel Spray as Adhesion Barrier for Laparoscopic MyomectomyShinichiro WadaYoshiyuki FukushiTomono ShimabukuroSachiko MatsumotoMai NishimuraMakiko NakataniAyako NakajimaObjectives: Laparoscopic myomectomy (LM) is a procedure with a high rate of postoperative adhesions, which can lead to complications such as bowel obstruction and subsequent surgical problems, making anti-adhesion measures important. Various anti-adhesion materials are already on the market and have shown efficacy, but dextrin hydrogel spray (AdSpray™), an anti-adhesion material launched in 2017, has not yet been reported in the field of gynecology, although there are papers showing its usefulness in the surgical field such as repeat hepatectomy and ileostomy closure. Thereby, we investigated the postoperative status of AdSpray™ in LM. Materials and Methods: We report 24 cases in which AdSpray™ was used at Teine Keijinkai Hospital from 2018 to 2021 for LM, followed by cesarean section (CS) from 2019 to 2022. Adverse effects related to AdSpray™ and the presence of uterine adhesions in CS were examined. Results: Adhesions were observed in 4 (16.7%) cases, none of which resulted in significant adverse effects of AdSpray™. Conclusion: AdSpray™ was effective in preventing adhesion and may be an option as an anti-adhesion material in LM.https://journals.lww.com/10.4103/gmit.gmit_2_24adhesionadspray™cesarean sectiondextrin hydrogel spraylaparoscopic myomectomy |
| spellingShingle | Shinichiro Wada Yoshiyuki Fukushi Tomono Shimabukuro Sachiko Matsumoto Mai Nishimura Makiko Nakatani Ayako Nakajima Evaluation of Postoperative Adhesions in a Subsequent Cesarean Section Following the Use of Dextrin Hydrogel Spray as Adhesion Barrier for Laparoscopic Myomectomy Gynecology and Minimally Invasive Therapy adhesion adspray™ cesarean section dextrin hydrogel spray laparoscopic myomectomy |
| title | Evaluation of Postoperative Adhesions in a Subsequent Cesarean Section Following the Use of Dextrin Hydrogel Spray as Adhesion Barrier for Laparoscopic Myomectomy |
| title_full | Evaluation of Postoperative Adhesions in a Subsequent Cesarean Section Following the Use of Dextrin Hydrogel Spray as Adhesion Barrier for Laparoscopic Myomectomy |
| title_fullStr | Evaluation of Postoperative Adhesions in a Subsequent Cesarean Section Following the Use of Dextrin Hydrogel Spray as Adhesion Barrier for Laparoscopic Myomectomy |
| title_full_unstemmed | Evaluation of Postoperative Adhesions in a Subsequent Cesarean Section Following the Use of Dextrin Hydrogel Spray as Adhesion Barrier for Laparoscopic Myomectomy |
| title_short | Evaluation of Postoperative Adhesions in a Subsequent Cesarean Section Following the Use of Dextrin Hydrogel Spray as Adhesion Barrier for Laparoscopic Myomectomy |
| title_sort | evaluation of postoperative adhesions in a subsequent cesarean section following the use of dextrin hydrogel spray as adhesion barrier for laparoscopic myomectomy |
| topic | adhesion adspray™ cesarean section dextrin hydrogel spray laparoscopic myomectomy |
| url | https://journals.lww.com/10.4103/gmit.gmit_2_24 |
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