Reduction of adhesion reformation after laparoscopic endometriosis surgery: a randomized trial with an oxidized regenerated cellulose absorbable barrier

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An oxidized regenerated cellulose barrier significantly reduced adhesion reformation after laparoscopic surgery for endometriosis compared to surgery alone in a randomized trial.

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Abstract

OBJECTIVE: To evaluate the effectiveness of an oxidized regenerated cellulose absorbable barrier (Interceed [TC7] Absorbable Adhesion Barrier) in the reduction of adhesion reformation after laparoscopic surgery for endometriosis. METHODS: Thirty-two premenopausal nonpregnant women who had severe endometriosis and complete posterior cul-de-sac obliteration and were undergoing laparoscopic surgery were randomly assigned to either surgery alone or surgery and Interceed. None of the subjects received any other treatment for adhesion prevention. Second-look laparoscopy was performed 12-14 weeks after laparoscopic surgery by an investigator blinded to the treatment, and the incidence of adhesion-free subjects was assessed. RESULTS: Twelve of 16 (75%) women treated with the oxidized regenerated cellulose barrier were free of adhesions, compared with two of 16 (12.5%) controls, a statistically significant difference (P < .05). CONCLUSION: The oxidized regenerated cellulose absorbable barrier significantly reduces adhesion reformation after laparoscopic surgery for endometriosis.

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Condition tags

endometriosis

MeSH descriptors

Cellulose, Oxidized Endometriosis Laparoscopy Adult Adult Cellulose, Oxidized Cellulose, Oxidized Endometriosis Endometriosis Female Female Genital Diseases, Female Genital Diseases, Female Genital Diseases, Female Genital Diseases, Female Humans Humans Laparoscopy Laparoscopy Recurrence

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (12)

Cited by (20)

Source provenance

europepmc
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openalex
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