Adhäsionsprophylaxe bei minimal-invasiven Eingriffen

After surgical procedures peritoneal adhesions are quite common. They might cause pain or infertility and can be the reason for emergency conditions such as bowel obstruction. Triggers for adhesion formation can be incisions into the peritoneum, high pressure, heat, desiccation, or foreign material such as sutures. Fibrin forms in the damaged structures, leading to peritoneal adhesions. Reduction strategies include minimizing operating time, atraumatic surgical techniques, using moisturized and heated gas for laparoscopy, avoiding high pressure peaks during pneumoperitoneum, reducing infection by using single-shot antibiotics if necessary, removing blood clots at the end of the operation, reducing use of sutures, and applying antiadhesive substances for high-risk patients.