Abstract
Laparoscopic surgery results in less postoperative adhesions than a laparotomy, and the adhesion barrier (Seprafilm®) is used for reducing adhesion formation. Seprafilm®, a bioresorbable membrane of sodium hyaluronate and carboxymethylcellulose, is effective for adhesion prevention; however, its properties make it difficult to insert into the abdominal cavity and place it at the target area in laparoscopic surgeries. We report a new technique to introduce Seprafilm® for laparoscopic surgeries by using surgical glove fingers. Seprafilm® was cut into 4 x 2.4 cm segments and both surfaces were moistened with wet gauze. The films were rolled for placement in the surgical glove fingers and then the glove fingers were inserted into the abdominal cavity through a 12-mm trocar. The Seprafilm® was then unrolled and placed on the target area after removing it from the glove. Eighty-seven of 96 segments of Seprafilm® were successfully used in 16 patients who underwent total laparoscopic hysterectomy. This method can provide the use of Seprafilm® for laparoscopic surgeries at low cost.
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