eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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4/2013
vol. 8
 
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abstract:
Original paper

Preliminary study with SprayShield Adhesion Barrier System in the prevention of abdominal adhesions

Tomasz Banasiewicz
,
Karolina Horbacka
,
Jacek Karoń
,
Stanisław Malinger
,
Frantisek Antos
,
Sławomir Rudzki
,
Zdenek Kala
,
Zoran Stojcev
,
Jyrki Kössi
,
Piotr Krokowicz

Videosurgery Miniinv 2013; 8 (4): 301–309
Online publish date: 2013/05/06
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Introduction: Peritoneal adhesions, the fibrotic bands that form between the surfaces in the peritoneal cavity following surgery, still pose a difficult clinical challenge.

Aim: To evaluate the SprayShield Adhesion Barrier System (PEG ester amine solution and a buffer solution) in reducing post-operative adhesion formation.

Material and methods: This was a prospective, multi-center, randomized, single blind study. A total of 11 subjects diagnosed with ulcerative colitis (UC) or familial adenomatous polyposis (FAP) were randomized: 8 to the SprayShield arm and 3 to the control arm. SprayShield was applied on the viscera directly under the midline peritoneal incision and at the site of ileostomy. During the follow-up surgery, the incidence, extent, and severity of post-operative adhesion formation were evaluated, as well as the time required to mobilize the ileal loop.

Results: In patients who received SprayShield the time required to mobilize the ileal loop at the ileostomy closure was slightly shorter and the incidence and severity of adhesions were somewhat lower vs. control subjects (NS).

Conclusions: SprayShield was found to be easy to use, safe, and quick to apply, and performed well in adherence and conformity. The incidence and severity of adhesions were lower for SprayShield subjects vs. control subjects, but due to the limited number of patients there are not enough data to confirm the effectiveness of the SprayShield Adhesion Barrier System in prevention of adhesions.
keywords:

adhesions, adhesion prevention, laparotomy, ileostomy

  
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