Facts, Views & Vision
in ObGyn

Journal of the European Society for Gynaecological Endoscopy

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Global recommendations on adhesion prophylaxis in gynaecological laparoscopic surgery

R.L. De Wilde1*, A. Adlan2, P. Aquino3, S. Becker4, M. Bigozzi5, U. Catena6, J. Clark7, F. Darmawan8, J. Dubuisson9, M.A. Habana10, C.K. Khoo11, P.R. Koninckx12, H. Krentel13, A. Lam14, R. Lasmar15, S.M. Mansuria16, S. Mukherjee17, O. Musigavong18, S. Ohri19, G. Pados20, M.A. Pinho de Oliveira21, S. Puntambekar22, B. Rabischong23, E. Saridogan24, J. Sehouli25, F. Sendag26, R. Paz Tan27, V. Tanos28, R. ten Broek29, V. Tica30, L. A. Torres-de la Roche31, M. Wallwiener32, L. Zhu33, R. Devassy34 — On behalf of the Special Interest Group “Adhesions Research” of the European Society for Gynaecological Endoscopy

1 Carl von Ossietzky University, Oldenburg, 26121,Germany
2 University of Malaysia, Kuala Lumpur, 50603, Malaysia
3 St. Luke´s College of Medicine, Quezon, 1112, Philippines
4 Goethe University Frankfurt, Frankfurt am Main, 60629, Germany
5 Buenos Aires University, Buenos Aires, C1035, Argentina
6 Fondazione Policlinico Universitario A. Gemelli, Rome, 00168, Italy
7 University of Birmingham, Birmingham, B15 2SQ, United Kingdom
8 GATOT Subroto Army Hospital, Jakarta, 10410, Indonesia
9 University of Geneva, Geneva, 1205, Switzerland
10 University of the Philippines, Manila, 1101, Philippines
11 College of Obstetrics and Gynecology, Singapore, 328836, Singapore;
12 Catholic University of Leuven, Leuven, 3000, Belgium
13 Universidad Peruana Cayetano Heredia, Lima, 15102, Peru
14 University of Sydney, Sydney, 2050, Australia
15 Universidad Federal Fluminense Noterói, Rio de Janeiro, 24220-900, Brazil
16 University of Pittsburgh, Pittsburgh, 15260, USA
17 Hudson University, Clayton Victoria, 3168, Australia
18 Royal Thai College of Obstetricians and Gynecologists, Thai Medical Council Committee, Bangkok, 10310, Thailand
19 Banaras Hindu University, Varanasi, 221005, India
20 Aristotle University of Thessaloniki, Thessaloniki, 54124, Greece
21 State University of Rio de Janeiro (UERJ), Rio de Janeiro, 20551-030, Brazil
22 Oncology Committee of the American Association of Gynecological Laparoscopists (AAGL), Pune, 411004, India
23 University of Clermont-Ferrand, Clermont-Ferrand, 63001, France
24 University College London Hospitals, London, NW1 2BU, United Kingdom
25 Charité University, Berlin, 10117, Germany
26 Ege University, Izmir, 35040,Turkey
27 University of the Philippines, Manila, 72, Philippines
28 University of Nicosia, Egkomi, 2408, Cyprus
29 Radboud University, Nijmegen, 6525, Netherlands
30 University of Constanta, Constanta, 900573,Romania
31 Carl von Ossietzky University Oldenburg, 26131, Germany
32 University of Heidelberg, Heidelberg, 69117, Germany
33 Peking Union Medical College Hospital, Beijing, 100730, China
34 Special Interest Group Adhesions Research of the European Society for Gynaecological Endoscopy, Dubai, 12119, UAE.

Keywords:

Gynaecological surgery, tissue adhesions, prevention and control, health-planning recommendations


Published online: Sep 30 2024

https://doi.org/10.52054/FVVO.16.3.037

Abstract

Adhesions are recognised as one of the most common complications of abdominal surgery; their diagnosis and prevention remains a significant unmet need in surgical therapy, affecting negatively a patient’s quality of life and healthcare budgets. In addition, postoperative pelvic adhesions pose a high risk of reduced fertility in women of childbearing age. These 2023 Global Recommendations on Adhesion Prevention in Gynaecological Laparoscopic Surgery provide agreed-upon statements to guide clinical practice, with the ultimate goal of improving patient outcomes.