Why does adhesion prevention make sense?
Postoperative adhesions play a prominent role in everyday clinical practice. Adhesions occur after approximately 75% of all operations on the abdomen – and this is regardless of whether the surgery was carried out by laparoscopy or laparotomy. In most cases, peritoneal defects are the origin and the cause of adhesions. They can also be caused by blood connected with a peritoneal trauma.
Adhesions are associated with postoperative complications, higher costs, and a heavier workload. In further surgery, adhesions may hamper a minimally invasive procedure and require more operating time e.g. for adhesiolysis. The risk of complications increases dramatically depending on the number and severity of previous operations. For patients, adhesions can result in chronic or recurrent pain, dyspareunia, infertility, and transit disorders – sometimes in the first year following surgery. The most serious complication is mechanical small intestine ileus, which is caused by adhesions in 65% to 75% of cases.
How can adhesions be minimised?
Even the most careful surgical technique that is as minimally invasive as possible cannot prevent the occurrence of adhesions. Routine prevention of postoperative adhesions therefore makes sense and is advisable, especially in the case of abdominal surgery.
Postoperative healing without the formation of adhesions is facilitated by staunching bleeding and supporting peritonealisation. 4DryField® PH is the only certified medical device in Europe that is approved for haemostasis AND adhesion prevention.