Postoperative Adhesions

Question 1

vasoactive substances released in response to peritoneal trauma

Answer 1

histamines, cytokines, growth factors

Question 2

vasoactive substances cause

Answer 2

increased vascular permeability and fibrin exudates

Question 3

normal fibrinolytic activity leads to breakdown of fibrinous exudate within

Answer 3

72 hours

Question 4

decreased fibrinolytic activity leads to

Answer 4

fibrin deposition and capillary ingrowth leading to adhesion formation

Question 5

adhesions affect fertility adversely by

Answer 5

distorting adnexal anatomy and interfering with gamete and embryo transport

Question 6

surgical techniques that reduce adhesions

Answer 6

gentle tissue handling, hemostasis, excision of necrotic tissue, minimization of necrosis, nonreactive suture materials

Question 7

anterior wall adhesions risk is related to ______ of the abdominal incision

Answer 7

length (thus laparoscopy < laparotomy)

Question 8

anti-inflammatory agents (do/do not) reduce postoperative adhesions

Answer 8

do not

Question 9

peritoneal instillation (icodextrin, heparin) (do/do not) reduce postoperative adhesions

Answer 9

do not

Question 10

seprafilm is composed of

Answer 10

HA/CMC (hyaluronic acid and carboxuymethyl cellulose)

Question 11

interceed is composed of

Answer 11

oxidized regenerated cellulose

Question 12

interceed is rendered infective when saturated with

Answer 12

blood