子宮筋腫核出術における「アドスプレー」の癒着防止効果について－11症例の次回手術時における評価－

抄録

  Uterine myomectomy is a procedure that is relatively prone to postoperative adhesion formation, which can cause infertility, chronic pelvic pain, and bowel obstruction. The sheet adhesion barriers, Interseed and Seprafilm, have been widely used to reduce such postoperative adhesions and have been effective to some extent. However, due to the characteristics of these sheet-based materials, a certain level of experience and skill is required to insert the barrier in the abdominal cavity and place it in the appropriate site. In contrast, Adspray is a spray-type barrier that is relatively easier to use than sheet-based barriers and has been reported to shorten the operation time. We have experienced 11 cases in which we were able to evaluate the anti-adhesion effects of Adspray after myomectomy. This study supports the effectiveness of Adspray to prevent adhesion.