New and Simple Approach for Preventing Postoperative Peritoneal Adhesions: Do not Touch the Peritoneum without Viscous Liquid—A Multivariate Analysis

Background. Postoperative peritoneal adhesions (PPAs) are an unsolved and serious problem in abdominal surgery. Method. Viscous liquids of soybean oil, octyl methoxycinnamate, flax oil, aloe vera gel, and glycerol were used in five experiments, using the same methodology for each. Liquids were appli...

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Main Authors: Erhan Aysan, Hasan Bektas, Feyzullah Ersoz, Serkan Sari, Arslan Kaygusuz, Gulben Erdem Huq
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Obstetrics and Gynecology International
Online Access:http://dx.doi.org/10.1155/2012/368924
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author Erhan Aysan
Hasan Bektas
Feyzullah Ersoz
Serkan Sari
Arslan Kaygusuz
Gulben Erdem Huq
author_facet Erhan Aysan
Hasan Bektas
Feyzullah Ersoz
Serkan Sari
Arslan Kaygusuz
Gulben Erdem Huq
author_sort Erhan Aysan
collection DOAJ
description Background. Postoperative peritoneal adhesions (PPAs) are an unsolved and serious problem in abdominal surgery. Method. Viscous liquids of soybean oil, octyl methoxycinnamate, flax oil, aloe vera gel, and glycerol were used in five experiments, using the same methodology for each. Liquids were applied in the peritoneal cavity before and after mechanical peritoneal trauma. Results were evaluated by multivariate analysis. Results. Compared with the control group, macroscopic and microscopic adhesion values before (P<.001) and after (P<.05) application of viscous liquids significantly reduced PPAs. Values were significantly lower when liquids were applied before rather than after peritoneal trauma (P<.0001). Discussion. Viscous liquids injected into the peritoneal cavity before or after mechanical peritoneal trauma decrease PPA. Injection before trauma was more effective than after trauma. In surgical practice, PPA formation may be prevented or decreased by covering the peritoneal cavity with an appropriate viscous liquid before abdominal surgery.
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institution Kabale University
issn 1687-9589
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language English
publishDate 2012-01-01
publisher Wiley
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series Obstetrics and Gynecology International
spelling doaj-art-d67eb93b11ee46ef8806d6b3d105156d2025-02-03T05:51:48ZengWileyObstetrics and Gynecology International1687-95891687-95972012-01-01201210.1155/2012/368924368924New and Simple Approach for Preventing Postoperative Peritoneal Adhesions: Do not Touch the Peritoneum without Viscous Liquid—A Multivariate AnalysisErhan Aysan0Hasan Bektas1Feyzullah Ersoz2Serkan Sari3Arslan Kaygusuz4Gulben Erdem Huq5Department of General Surgery, Bezmialem Vakif University, 0700 Istanbol, TurkeyDepartment of General Surgery, Bezmialem Vakif University, 0700 Istanbol, TurkeyDepartment of General Surgery, Bezmialem Vakif University, 0700 Istanbol, TurkeyDepartment of General Surgery, Bezmialem Vakif University, 0700 Istanbol, TurkeyDepartment of General Surgery, Bezmialem Vakif University, 0700 Istanbol, TurkeyDepartment of General Surgery, Bezmialem Vakif University, 0700 Istanbol, TurkeyBackground. Postoperative peritoneal adhesions (PPAs) are an unsolved and serious problem in abdominal surgery. Method. Viscous liquids of soybean oil, octyl methoxycinnamate, flax oil, aloe vera gel, and glycerol were used in five experiments, using the same methodology for each. Liquids were applied in the peritoneal cavity before and after mechanical peritoneal trauma. Results were evaluated by multivariate analysis. Results. Compared with the control group, macroscopic and microscopic adhesion values before (P<.001) and after (P<.05) application of viscous liquids significantly reduced PPAs. Values were significantly lower when liquids were applied before rather than after peritoneal trauma (P<.0001). Discussion. Viscous liquids injected into the peritoneal cavity before or after mechanical peritoneal trauma decrease PPA. Injection before trauma was more effective than after trauma. In surgical practice, PPA formation may be prevented or decreased by covering the peritoneal cavity with an appropriate viscous liquid before abdominal surgery.http://dx.doi.org/10.1155/2012/368924
spellingShingle Erhan Aysan
Hasan Bektas
Feyzullah Ersoz
Serkan Sari
Arslan Kaygusuz
Gulben Erdem Huq
New and Simple Approach for Preventing Postoperative Peritoneal Adhesions: Do not Touch the Peritoneum without Viscous Liquid—A Multivariate Analysis
Obstetrics and Gynecology International
title New and Simple Approach for Preventing Postoperative Peritoneal Adhesions: Do not Touch the Peritoneum without Viscous Liquid—A Multivariate Analysis
title_full New and Simple Approach for Preventing Postoperative Peritoneal Adhesions: Do not Touch the Peritoneum without Viscous Liquid—A Multivariate Analysis
title_fullStr New and Simple Approach for Preventing Postoperative Peritoneal Adhesions: Do not Touch the Peritoneum without Viscous Liquid—A Multivariate Analysis
title_full_unstemmed New and Simple Approach for Preventing Postoperative Peritoneal Adhesions: Do not Touch the Peritoneum without Viscous Liquid—A Multivariate Analysis
title_short New and Simple Approach for Preventing Postoperative Peritoneal Adhesions: Do not Touch the Peritoneum without Viscous Liquid—A Multivariate Analysis
title_sort new and simple approach for preventing postoperative peritoneal adhesions do not touch the peritoneum without viscous liquid a multivariate analysis
url http://dx.doi.org/10.1155/2012/368924
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