A simple and novel technique for the placement of antiadhesive membrane in laparoscopic surgery

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Toshihiko ShinoharaKatsuhiko Yanaga

Abstract

Laparoscopic surgery is less invasive and allows faster recovery from surgery and reduces postoperative recurrence of adhesions and small bowel obstruction (SBO). However, as much as 30% of patients require repeated treatment for the recurrence of SBO owing to formation of adhesions. To reduce such a complication, we developed a new method on the basis of the use of antiadhesive membrane during laparoscopic surgery. This study included 8 consecutive patients for whom laparoscopic surgery was performed, and antiadhesive membrane was placed intraperitoneally over the wound areas using our new technique. After the median follow-up period of over 3 years, recurrence of SBO has not been observed in any of the patients. Laparoscopic surgery requires advanced surgical skills, including the placement of antiadhesive membrane. Our "Seprafilm flag" technique is simple and easy to employ during laparoscopic surgery that allows prevention of postoperative formation of adhesions.

References

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Citations

Mar 19, 2011·Surgical Endoscopy·Adit SureshZiad T Awad
Oct 24, 2009·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Michael V Ortiz, Ziad T Awad
Mar 9, 2013·International Journal of Medical Sciences·Katsunori TakagiNaoki Nakajima
Jul 28, 2012·Gynecological Surgery·Michael P DiamondLena Holmdahl
Apr 10, 2012·The Journal of Surgical Research·Katsunori TakagiNaoki Nakajima
Jan 17, 2012·The British Journal of Surgery·M LalountasA K Sakantamis
Aug 28, 2014·Surgical Endoscopy·Atsushi TsurutaMasafumi Nakamura
Mar 25, 2016·The Indian Journal of Surgery·Yasuo SumiYoshihiro Kakeji
Apr 20, 2017·The Journal of Obstetrics and Gynaecology Research·Hitomi NakagawaToru Hachisuga
Dec 15, 2018·Asian Journal of Endoscopic Surgery·Kuniaki OtaMamoru Tanaka
Oct 2, 2021·Asian Journal of Endoscopic Surgery·Hiroki ShimizuEigo Otsuji

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