Publication:
Adhesions and anti-adhesion systems highlights

dc.contributor.coauthorTorres-De La Roche, L. A.
dc.contributor.coauthorCampo, R.
dc.contributor.coauthorDevassy, R.
dc.contributor.coauthorSardo, A. Di Spiezio
dc.contributor.coauthorHooker, A.
dc.contributor.coauthorKoninckx, P.
dc.contributor.coauthorWallwiener, M.
dc.contributor.coauthorDe Wilde, R. L.
dc.contributor.departmentSchool of Medicine
dc.contributor.kuauthorUrman, Cumhur Bülent
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2024-11-09T11:46:41Z
dc.date.issued2019
dc.description.abstractThe peritoneal and intrauterine cavities are lined by fragile membranes with a high-wound healing capacity, e.g. repairing the endometrium in its cyclical "injury and scar-free repair process" during menstruation. However, peritoneal and intrauterine fibrosis and adhesions can develop after surgical trauma through activation of molecular, immune and genetic mechanisms. During procedures with a high-risk of adhesions, the use of new peritoneal and intrauterine conditions in combination with anti-adhesion substances are promising measures to preserve peritoneal and endometrial function and avoid the most common complication of gynecological surgery. Highlights of adhesions and anti-adhesion prevention techniques in laparoscopic, laparotomic and hysteroscopic surgeries are discussed in this paper. Unfortunately, evidence is lacking to prove the superiority of one technique over its counterparts in terms of postoperative adhesions, such as instrumentation, type of energy, distending media, and intracavitary pressure. Additionally, there is limited evidence about the efficacy and outcomes of techniques and adjuvant measures used during adhesiolysis. The definition of a universal intrauterine adhesions classification scheme as well as a prognostic scoring system to identify women at high risk of postoperative adhesions are necessary for advising those who could benefit the most of the use of antiadhesion barriers.
dc.description.fulltextYES
dc.description.indexedbyWOS
dc.description.indexedbyPubMed
dc.description.issue2
dc.description.openaccessYES
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.sponsorshipN/A
dc.description.versionPublisher version
dc.description.volume11
dc.identifier.embargoNO
dc.identifier.filenameinventorynoIR01920
dc.identifier.issn2032-0418
dc.identifier.quartileN/A
dc.identifier.urihttps://hdl.handle.net/20.500.14288/535
dc.identifier.wos489331400006
dc.keywordsPeritoneal adhesions
dc.keywordsPrevention
dc.keywordsAntiadhesion agents
dc.keywordsGynecological surgery
dc.language.isoeng
dc.publisherUniversa Press
dc.relation.grantnoNA
dc.relation.ispartofFacts, Views _ Vision in ObGyn
dc.relation.urihttp://cdm21054.contentdm.oclc.org/cdm/ref/collection/IR/id/8489
dc.subjectMedicine
dc.subjectObstetrics and gynecology
dc.titleAdhesions and anti-adhesion systems highlights
dc.typeReview
dspace.entity.typePublication
local.contributor.kuauthorUrman, Cumhur Bülent
local.publication.orgunit1SCHOOL OF MEDICINE
local.publication.orgunit2School of Medicine
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