The extent of adhesion induction through electrocoagulation and suturing in an experimental rat study

Fertility and Sterility
Christian WallwienerTaufiek K Rajab

Abstract

To investigate the effect of three types of peritoneal trauma occurring during surgery (high-frequency bipolar current, suturing, and mechanical damage) on postoperative adhesion formation in a rodent animal model. Randomized, controlled experimental trial in an in vitro animal model. Laboratory facilities of a university department of obstetrics and gynecology. Thirty-five female Wistar rats. Bilateral experimental lesions were created on the abdominal wall in every animal. The effect of minimal electrocoagulation was examined by creating lesions (n = 14) through sweeps of a bipolar forceps with a duration of 1 second and standardized pressure. For extensive electrocoagulation standardized lesions (n = 14) were created using sweeps of a duration of 3 seconds and three times more pressure. For mechanical trauma, standardized lesions (n = 14) were created by denuding the peritoneum mechanically. To study the additive effect of suturing, experimental lesions were created by suturing plus minimal electrocoagulation (n = 14) or mechanical denuding (n = 14). Adhesion incidence, quantity, and quality of the resulting adhesions were scored 14 days postoperatively. Adhesions were studied histopathologically. Mechanical denuding of the ...Continue Reading

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Citations

May 18, 2013·Langenbeck's Archives of Surgery·Taufiek Konrad RajabMarkus Wallwiener
May 11, 2012·Journal of Materials Science. Materials in Medicine·Christoph BrochhausenC James Kirkpatrick
Feb 3, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Christoph BrochhausenC James Kirkpatrick
Nov 1, 2011·Archives of Gynecology and Obstetrics·Anja HirschelmannRudy Leon De Wilde
Apr 29, 2014·Journal of Minimally Invasive Gynecology·Martin HealeyHarvinder Kaur
Apr 21, 2009·The Journal of Surgical Research·Taufiek Konrad RajabChristian Wilhelm Wallwiener
Oct 19, 2016·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Martina KesslerJörg Tessmar
Aug 11, 2015·Current Problems in Surgery·Robel T BeyeneAdrian Barbul
Mar 22, 2013·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Taufiek Konrad RajabMarkus Wallwiener
Mar 23, 2010·The Journal of Surgical Research·Susan H WhangKlaus Thaler
Mar 7, 2017·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Volker H SchmittChristoph Brochhausen
May 19, 2018·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·E TagkalosB Jansen-Winkeln
May 7, 2011·Journal of Biomedical Materials Research. Part a·Christoph BrochhausenC James Kirkpatrick

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