Prevention of Postoperative Adhesions

From: Helen Dynda (olddad66@runestone.net)
Sun Mar 9 10:15:55 2003


X> Prevention of Postoperative Adhesions...Hans van der Slikke, MD, PhD interviews Mark Martens, MD (October 22-24, 2001)

The last part of this Url is: " avtranscripts/asrm2001-martens "

[ http://www.obgyn.net/displaytranscript.asp?page=/avtranscripts/asrm2001-martens ] Hans van der Slikke, MD: "Dr. Martens is a specialist in the prevention of adhesions. I want to discuss with you the history of the prevention of adhesions because we all know that one of the big complications from surgery is the adhesions, and it's especially dangerous or a problem in women who want to have children. Could you tell us what was done previously to prevent adhesions from the moment we recognize the problem?"

Mark Martens, MD: "Unfortunately, for most obstetrician-gynecologists adhesions have been a tremendous problem that we haven't had too much available to help us. What we did twenty or thirty years ago was exactly the wrong thing - as we had patients who had chronic pelvic pain and infertility, we operated on them and we found we created more adhesions. Fortunately, science moved ahead and tried to solve the problem, and we've had several devices or materials that we tried to use. One that was commonly used was dextran fluid, and that osmotically created ascites in the pelvis and flowed to the organs. Everyone thought it worked for a while and found out it was quite dangerous with the fluid changes, and it is no longer used. The barrier methods were then the next materials that were used, and the only one that really has been used quite frequently over the past ten years is the oxidized regenerated cellulose. It's been shown to be very effective in localized prevention of adhesions. It's usually used to wrap around ovaries or on sites where you have myomectomies. Several new devices have come and gone and last year at this meeting new data was presented on a gel-like material that was utilized in a double-blind comparative study in both Europe and the United States."

Hans van der Slikke, MD: "What about this gel, what's in it, and what's your thought about it?"

THERE IS MUCH MORE TO READ AT THE ABOVE WEBSITE...


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