Post-Operative Intraperitoneal Adhesion Prevention – The Recent Knowledge

Overview

This article deals with the current knowledge on the possibilities of intraperitoneal adhesion prophylaxis in correlation with intraperitoneal interventions in abdominal surgery. The up-to-date experimental possibilities and other known methods are presented. These include: Intraperitoneal perfusion by certain special simple solutions- Dextran, Carboxymethycellulose, Crystalloid solutions, and Hyaluronidase. Intraperitoneal or other administration of certain drugs- Tetracyclines, Cephalosporins, Corticosteroids, Non-Steroidal Anti-inflammatory drugs, Histamine agonists, Ca-channel blockers, Heparin, Citrates and Oxalates, Streptokinase, Urokinase, Plasminogen activators, and application of special synthetic or natural materials intraperitoneally – Surgicel, Interceed, Gore-Tex, Fibrin Glue, or various combinations of the above mentioned. Rats, rabbits, and mousses were used, first of all, as an animal model in presented experiments.

Key words:
postoperative adhesions – experimental antiadhesive materials and substances