TY - JOUR
T1 - Postoperative adhesions in gynecologic surgery
T2 - a committee opinion
AU - Practice Committee of the American Society for Reproductive Medicine in collaboration with the Society of Reproductive Surgeons
AU - Penzias, Alan
AU - Bendikson, Kristin
AU - Falcone, Tommaso
AU - Gitlin, Susan
AU - Gracia, Clarisa
AU - Hansen, Karl
AU - Hill, Micah
AU - Hurd, William
AU - Jindal, Sangita
AU - Kalra, Suleena
AU - Mersereau, Jennifer
AU - Odem, Randall
AU - Racowsky, Catherine
AU - Rebar, Robert
AU - Reindollar, Richard
AU - Rosen, Mitchell
AU - Sandlow, Jay
AU - Schlegel, Peter
AU - Steiner, Anne
AU - Stovall, Dale
AU - Tanrikut, Cigdem
N1 - Funding Information:
This report was developed under the direction of the Practice Committee of the American Society for Reproductive Medicine and the Society for Reproductive Surgeons as a service to its members and other practicing clinicians. Although this document reflects appropriate management of a problem encountered in the practice of reproductive medicine, it is not intended to be the only approved standard of practice or to dictate an exclusive course of treatment. Other plans of management may be appropriate, taking into account the needs of the individual patient, available resources, and institutional or clinical practice limitations. The Practice Committee, the Board of Directors of the American Society for Reproductive Medicine, and the Society for Reproductive Surgeons have approved this report. This document was reviewed by ASRM members and their input was considered in the preparation of the final document. The following members of the ASRM Practice Committee participated in the development of this document. All Committee members disclosed commercial and financial relationships with manufacturers or distributors of goods or services used to treat patients. Members of the Committee who were found to have conflicts of interest based on the relationships disclosed did not participate in the discussion or development of this document. Alan Penzias, M.D.; Kristin Bendikson, M.D.; Tommaso Falcone, M.D.; Susan Gitlin, Ph.D.; Clarisa Gracia, M.D. M.S.C.E.; Karl Hansen, M.D. Ph.D.; Micah Hill, D.O.; William Hurd, M.D. M.P.H.; Sangita Jindal, Ph.D.; Suleena Kalra, M.D. M.S.C.E.; Jennifer Mersereau, M.D.; Randall Odem, M.D.; Catherine Racowsky, Ph.D.: Robert Rebar, M.D.; Richard Reindollar, M.D.; Mitchell Rosen, M.D.; Jay Sandlow, M.D.; Peter Schlegel, M.D.; Anne Steiner, M.D. MPH.; Dale Stovall, M.D.; Cigdem Tanrikut, M.D.
Publisher Copyright:
© 2019 American Society for Reproductive Medicine
PY - 2019/9
Y1 - 2019/9
N2 - Postoperative adhesions are a natural consequence of surgical tissue trauma and healing and may result in infertility, pain, and bowel obstruction. Adherence to microsurgical principles and minimally invasive surgery may help to decrease postoperative adhesions. Some surgical barriers have been demonstrated to be effective for reducing postoperative adhesions, but there is no substantial evidence that their use improves fertility, decreases pain, or reduces the incidence of postoperative bowel obstruction. This document replaces the document, “Pathogenesis, consequences, and control of peritoneal adhesions in gynecologic surgery: a committee opinion,” last published in 2013.
AB - Postoperative adhesions are a natural consequence of surgical tissue trauma and healing and may result in infertility, pain, and bowel obstruction. Adherence to microsurgical principles and minimally invasive surgery may help to decrease postoperative adhesions. Some surgical barriers have been demonstrated to be effective for reducing postoperative adhesions, but there is no substantial evidence that their use improves fertility, decreases pain, or reduces the incidence of postoperative bowel obstruction. This document replaces the document, “Pathogenesis, consequences, and control of peritoneal adhesions in gynecologic surgery: a committee opinion,” last published in 2013.
UR - http://www.scopus.com/inward/record.url?scp=85070867468&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85070867468&partnerID=8YFLogxK
U2 - 10.1016/j.fertnstert.2019.06.027
DO - 10.1016/j.fertnstert.2019.06.027
M3 - Article
C2 - 31446904
AN - SCOPUS:85070867468
VL - 112
SP - 458
EP - 463
JO - Fertility and Sterility
JF - Fertility and Sterility
SN - 0015-0282
IS - 3
ER -