Peritoneal Surgery

by Dizerega, Gere S.; Decherney, Alan H.; Diamond, Michael P.; Ellis, Harold; Gomel, Victor

• ISBN13: 9780387986104
• ISBN10: 0387986103
• Format: Hardcover
• Copyright: 1999-09-01
• Publisher: Springer Verlag

Summary

Peritoneal Surgeryaddresses the response of the peritoneum to injury and the prevention of post-surgical adhesions resulting from general and gynecologic surgery. Adhesions, or scar tissue binding two normally separate surfaces, form when the peritoneum, the membrane covering the abdominal wall and protecting the inner organs, is damaged during surgery, inflammation, or injury. Negative complications from adhesions include pelvic pain, infertility, intestinal obstruction, multiple surgical complications resulting from surgery to remove or pull them apart, and therefore a greater surgical workload and economic burden to the healthcare system. In this book, experts in the field address peritoneal repair, the role of surgical technique to prevent adhesions, adhesion formation, complications of adhesions, and developing technology in the prevention of adhesions.

Table of Contents

Foreword	vii
Preface	xiii
Contributors	xix
Section 1 Peritoneum and Peritoneal Repair	1	(114)
Peritoneum, Peritoneal Healing, and Adhesion Formation	3	(36)
Gere S. diZerega
Peritoneal Fluid	39	(12)
Arthur F. Haney
Peritoneal Tissue Repair Cells	51	(14)
Kathleen E. Rodgers
The Biology of Peritoneal Tissue Repair	65	(10)
Andrew T. Raftery
Cytokine Responses to Peritoneal Inflammation: The Role of the Mesothelium	75	(10)
Nicholas Topley
The Role of Integrins in Peritoneal Healing	85	(16)
Kathleen E. Rodgers
Proteases and Protease Inhibitors in Tissue Repair	101	(14)
William C. Parks
Gregory S. Schultz
Section 2 Adhesion Formation	115	(28)
The Plasmin System, a Marker of the Propensity to Develop Adhesions	117	(16)
Lena Holmdahl
Peritoneal Fibrinolysis and Adhesion Formation	133	(10)
Jeremy Thompson
Section 3 Surgical Technique	143	(72)
Laparoscopic Myomectomy	145	(8)
Jean-Bernard Dubuisson
Arnaud Fauconnier
Charles Chapron
Foreign Materials	153	(22)
Kristina Falk
Lena Holmdahl
The Peritoneum and Laparoscopy	175	(8)
Douglas E. Ott
Adhesions: Laparoscopy Versus Laparotomy	183	(10)
Jean-Luc Pouly
Sonteara Seak-San
Reducing Adhesion Formation in Gynecologic Procedures Using Laparoscopic Surgery	193	(8)
Salli Tazuke
Camran Nezhat
Role of Sutures and Suturing in the Formation of Postoperative Adhesions	201	(8)
Daniel P. O'Leary
Pollutants Resulting from Intraabdominal Tissue Combustion	209	(6)
Douglas E. Ott
Section 4 Complications of Postoperative Adhesions	215	(80)
Incidence of Postsurgical Adhesions	217	(4)
Michael P. Diamond
Classification of Adhesions	221	(8)
Gerard Mage
Arnaud Wattiez
Michel Canis
Jean-Luc Pouly
Florence Alexandre
Maurice Bruhat
Conventional Radiography and Cross-Sectional Imaging Modalities in the Diagnosis of Adhesions	229	(6)
Hans-Martin Klein
Ectopic Pregnancy and Adhesion Formation	235	(6)
Per Lundorff
Ovarian Surgery and Laparoscopy	241	(12)
Michel Canis
Revaz Botchorishvili
Gerard Mage
Marie Claude Anton Bousquet
Patrice Mille
Jean-Luc Pouly
Arnaud Wattiez
Hubert Manhes
Maurice Antoine Bruhat
Peritoneal Endometriosis	253	(12)
Mark A. Damario
John A. Rock
Prognostic Factors of Distal Tubal Occlusion	265	(10)
J. Donnez
M. Nisolle
Endometriosis, Endometrioma, and the Problem of Adhesions	275	(14)
Ivo A. Brosens
Stephan Gordts
Rudi Campo
Luk Rombauts
Myomectomy and Adhesion Formation	289	(6)
Susie Lau
Togas Tulandi
Section 5 Outcome Measures and Adhesion Formation	295	(54)
The Magnitude of Adhesion-Related Problems	297	(10)
Harold Ellis
Prevalence of Adhesions and the Associated Costs in General Surgery	307	(14)
D.C.D. deLange
J. Jeekel
Outcome Measures and Adhesion Formation: Pain and Postsurgical Adhesion	321	(8)
David M.B. Rosen
Christopher J.G. Sutton
Infertility and Adhesions	329	(6)
Riccardo Marana
Ludovico Muzii
Contributions of Adhesions to the Cost of Healthcare	335	(8)
Isay Moscowitz
Steven D. Wexner
Clinical Significance of Adhesions in Patients with Chronic Pelvic Pain	343	(6)
John F. Steege
Section 6 Adhesion Prevention Adjuvants for Clinical Use	349	(70)
Development and Clinical Evaluation of Intergel Adhesion Prevention Solution for the Reduction of Adhesions Following Peritoneal Cavity Surgery	351	(16)
Douglas B. Johns
Gere S. diZerega
Laparoscopic Treatment of Peritoneal Adhesions	367	(12)
Christine H. Holschneider
Alan H. DeCherney
Use of Adhesion Prevention Barriers in Pelvic Reconstructive and Gynecologic Surgery	379	(22)
Gere S. diZerega
Adhesion Prevention: Past the Future	401	(18)
David M. Wiseman
Section 7 Developing Technology	419	(102)
Transperitoneal Pharmacokinetics	421	(20)
Michael F. Flessner
Developing Pharmacologic Agents for Adhesion Prevention	441	(18)
Kathleen E. Rodgers
Gere S. diZerega
Animal Adhesion Models: Design, Variables, and Relevance	459	(18)
David M. Wiseman
Adhesion Prevention: The Role of Fibrin Glue	477	(6)
Matthias Korell
Bioadhesive Polymers That Reduce Adhesion Formation	483	(16)
Stig Bengmark
Polymer Solutions and Films as Tissue-Protective and Barrier Adjuvants	499	(22)
Lynn S. Peck
Eugene P. Goldberg
Index	521