Document Detail


A new nonabsorbable adhesion barrier for myomectomy.
MedLine Citation:
PMID:  12433607     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: A pilot study was made to assess the efficacy and safety of a new nonabsorbable adhesion barrier (Shelhigh Dome Pericondial Patch No-React Treated) in reducing adhesion after extensive myomectomy by laparotomy with a planned second-look laparoscopy. METHODS: In 20 patients after extensive myomectomy and full thickness uterine wall reconstruction, the patch was sutured over the uterus. Second-look laparoscopy was performed 6 weeks postoperatively. Third-look laparoscopy was done in 3 patients. RESULTS: Surgeries were completed without intraoperative or postoperative complications. No problems related to the patch were encountered including the need for its removal. At laparoscopy no adhesions between the abdominal wall, bladder, small bowel, or sigmoid colon to the uterus were noticed. A thin layer of the omental edge covered the patch that was securely anchored to the uterine fundus. The mean follow-up was 13 months. CONCLUSIONS: These findings suggest benefits with this new bovine/porcine pericardial adhesion barrier for myomectomy. Controlled clinical trials are warranted.
Authors:
Marco A Pelosi; Marco A Pelosi
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  184     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2002 Nov 
Date Detail:
Created Date:  2002-11-15     Completed Date:  2002-12-17     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  428-32     Citation Subset:  AIM; IM    
Affiliation:
Pelosi Women's Medical Center, 350 Kennedy Blvd., Bayonne, NJ, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Animals
Biocompatible Materials
Cattle
Female
Humans
Laparoscopy
Laparotomy / adverse effects*
Leiomyoma / surgery*
Middle Aged
Pericardium
Postoperative Complications / prevention & control*
Prostheses and Implants*
Swine
Tissue Adhesions / prevention & control*
Treatment Outcome
Uterine Neoplasms / surgery*
Chemical
Reg. No./Substance:
0/Biocompatible Materials

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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