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.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
More From: JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.