Annals of translational medicine · 2020
Chinese expert consensus on the prevention of abdominal pelvic adhesions after gynecological tumor surgeries.
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Lang Jinghe, Ma Ding, Xiang Yang, Hua Keqin, Liu Kaijiang, Pan Lingya, Wang Ping, Yao Shuzhong, Zhao Fujie, Cheng Wenjun, Cui Manhua, Guo Hongyan, Guo Ruixia, Hong Li, Li Peiling, Liu Mubiao, Meng Yuanguang, Wang Hui, Wang Jianliu, Wang Wuliang, Wu Ming, Yang Xingsheng, Zhang Jun
Аннотация
Adhesion is a postoperative complication that has plagued gynecologists for many years, as 60-90% of gynecological patients develop adhesions after abdominopelvic surgeries. Abdominopelvic adhesions could lead to chronic pelvic pain, infertility, intestinal obstruction, and complicated reoperations. Adhesions might also increase the risk of postoperative chemoradiotherapy failure and endanger patients' lives, especially after surgeries for gynecological malignant tumors. The aim of this consensus was to review the pathogenesis and clinical consequences of adhesions and to summarize various surgical procedures and preventive measures that can reduce the occurrence of adhesions after gynecological tumor surgeries based on a discussion among well-known domestic gynecology specialists.