We designed an animal study (pigs) for evaluating the adhesions from created peritoneal defects following laparoscopic surgery in the National Cheng Kung University Hospital. The second-look laparotomy was performed 3-6 weeks later. In the group with peritoneal defects left open, 22% (2/9) of the pigs were in grade 1 adhesion. In the group with peritoneal defects repaired with staples, 11% (1/9) of the pigs were in grade 1 adhesion. However, no significant difference in adhesions was noted between these two groups (p > 0.05). We concluded that for reducing postoperative pelvic adhesions and saving operation time, repairing the large peritoneal defect remaining from laparoscopic surgery (LAVH or LH) is not necessary.
All Science Journal Classification (ASJC) codes
- Obstetrics and Gynaecology