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首页> 外文期刊>Surgical Endoscopy >Barrier methods used to prevent pelvic adhesions in videolaparoscopy: experimental study in female rabbits.
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Barrier methods used to prevent pelvic adhesions in videolaparoscopy: experimental study in female rabbits.

机译：在腹腔镜中用于防止盆腔粘连的屏障方法：在雌性兔子中的实验研究。

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摘要

BACKGROUND: This study was designed to evaluate the effectiveness of barrier methods to prevent adhesions in videolaparoscopy, comparing the use of Surgicel((R)) and Interceed((R)) with the control group. METHODS: We performed a controlled, randomized study in healthy adult female rabbits Oryctolagus cuniculu, inducing adhesions in the abdominal wall by resection of a peritoneal fragment and cauterization. In the control group, surgery was performed, and the other group was randomized to the use of the barrier method. After 21 days, videolaparoscopy was repeated, and the presence or absence of adhesions and their score were verified by performing biopsies of the surgical site in all groups. RESULTS: No statistical differences were found in the results on adhesion formation and adhesions score among the three groups. In the control group, there were 54.5% cases of adhesion formation; the median score of adhesions was 6 (range, 3-10). In the Surgicel((R)) group, there were 45.5% cases of adhesion formation; median score of adhesions was 6 (range, 4-10). In the Interceed((R)) group, there were 45.5% cases of adhesion formation; median score of adhesions was 5 (range, 3-11). CONCLUSIONS: No difference was found using barrier methods, Surgicel((R)), and Interceed((R)) for preventing adhesion formation in videolaparoscopy.
机译：背景：这项研究旨在评估屏障方法在预防腹腔镜手术中粘连的有效性，将Surgicel（R）和Interceed（R）的使用与对照组进行比较。方法：我们对健康成年雌性兔圆孔兔进行了一项随机对照研究，通过切除腹膜碎片和烧灼来诱导腹壁粘连。在对照组中，进行了手术，另一组被随机分配使用屏障法。 21天后，重复进行腹腔镜检查，并通过对所有组的手术部位进行活检来验证是否存在粘连及其评分。结果：三组间黏附形成和黏附评分结果无统计学差异。对照组中有54.5％的病例是粘连形成。粘连的中位数为6（范围3-10）。在Surgicel（R）组中，有45.5％的病例是粘连形成。粘附力中位数为6（范围4-10）。在Interceed（R）组中，有45.5％的情况是形成粘连;粘连的中位数为5（范围3-11）。结论：使用屏障方法，Surgicel（R）和Interceed（R）可以防止电视腹腔镜检查中粘连的形成，但没有发现差异。

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