Worry about ADHESION AFTER SURGERY?

Worry about ADHESION AFTER SURGERY?

What is ADHESION?

Adhesion means the attachment of two tissues in abnormal form after surgery. As a phenomenon occurring naturally during the wound healing process after surgery, it starts to occur immediately after surgery and forms within 7 days. It is a natural process that occurs while the wound heals after surgery.

What is the adhesion rate in Obstetrics & Gynecology?

Adhesion occurs after almost all surgeries, and the adhesion rates in the women-related surgeries are 60% of the patients who had laparoscopic gynecological surgery, 30 to 40% of those who had cesarean section, and 20% of the patients who had curettage. For the cause of adhesion-induced diseases, it has been reported that 54 to 74% of small intestinal atresia, 15 to 20% of infertility patients, and 50% of the patients complaining of chronic pelvic pain are related to adhesion.

Prevention of Adhesion?

The most important one required to prevent the adhesion is the surgical technique of the skilled doctor. It is also important to minimize the surgery area through the non-invasive operation. Nevertheless, adhesion occurs in many cases, and recently it is general to use various types of anti-adhesion agents together after the surgery.

Refer: 1. Am J Obstet Gynecol. 1994 May;170(5 Pt 1):1396-403.

            2. Rev Obstet Gynecol. 2009 Winter;2(1):38-45.

            3. Obstet Gynecol Int 2012;2012:435475.

            4. Fertil Steril 1998 Oct;70(4):702-11.

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