Incidence of adhesions following thermal tissue damage

Coagulation and vaporization of tissue are techniques applied in pelviscopic surgery in order to achieve hemostasis as well as cut and destroy endometriotic implants. An animal experimental study was devised to show if there is a difference in the incidence of adhesions after vaporization of equal-s...

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Bibliographic Details
Published in:Research in experimental medicine 1991-01, Vol.191 (6), p.405-411
Main Authors: MECKE, H, SCHÜNKE, M, SCHULZ, S, SEMM, K
Format: Article
Language:English
Subjects:
Abdominal Muscles
Animals
Biological and medical sciences
Electrocoagulation - adverse effects
Endometriosis - surgery
Female
Hot Temperature - adverse effects
Inflammation - etiology
Laser Therapy - adverse effects
Medical sciences
Rats
Rats, Inbred Strains
Tissue Adhesions - etiology
Tissue Adhesions - prevention & control
Traumas. Diseases due to physical agents
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Summary:Coagulation and vaporization of tissue are techniques applied in pelviscopic surgery in order to achieve hemostasis as well as cut and destroy endometriotic implants. An animal experimental study was devised to show if there is a difference in the incidence of adhesions after vaporization of equal-sized areas of the anterior abdominal wall of the rat compared to coagulation of equal-sized areas. A similar depth of the lesions was achieved by repeating the vaporization procedure. The rate of adhesions was significantly lower (P less than 0.001, Chi2-test) post-coagulation, using a biopolar high frequency current or post-endocoagulation than post-vaporization. The surface vaporization of tissue, for example endometriotic implants, as produced by laser is to be viewed critically as regards the higher incidence of adhesions after vaporization compared with coagulation.
ISSN:0300-9130
1433-8580
DOI:10.1007/BF02576695