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Post-Operative Intraperitoneal Adhesion Prevention - The Recent Knowledge

Publication at First Faculty of Medicine |
2006

Abstract

This article deals with the current knowledge on the possibilities of intraperitoneal adhesion prophylaxis in correlation with intraperitoneal interventions in abdominal surgery. The up-to-date experimental possibilities and other known methods are presented.

These include: Intraperitoneal perfusion by certain special simple solutions- Dextran, Carboxymethycellulose, Crystalloid solutions, and Hyaluronidase. Intraperitoneal or other administration of certain drugs- Tetracyclines, Cephalosporins, Corticosteroids, Non-Steroidal Anti-inflammatory drugs, Histamine agonists, Ca-channel blockers, Heparin, Citrates and Oxalates, Streptokinase, Urokinase, Plasminogen activators, and application of special synthetic or natural materials intraperitoneally ? Surgicel, Interceed, Gore-Tex, Fibrin Glue, or various combinations of the above mentioned.

Rats, rabbits, and mousses were used, first of all, as an animal model in presented experiments.