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A Prospective, Randomized, Multicenter, Controlled Study of the Safety of Seprafilm® Adhesion Barrier in Abdominopelvic Surgery of the Intestine
Diseases of the Colon & Rectum · 2003 · Vol. 46(10) · pp. 1310–1319
David E. Beck✉(Washington University in St. Louis)Zane Cohen(Washington University in St. Louis)James W. Fleshman(Washington University in St. Louis)Howard S. Kaufman(Washington University in St. Louis)Harry van Goor(Washington University in St. Louis)Bruce G. Wolff(Washington University in St. Louis)
Abstract
This study confirmed the safety of Seprafilm adhesion barrier with respect to abdominal abscess, pelvic abscess, and pulmonary embolism when administered to patients undergoing abdominopelvic surgery. Foreign body reaction was not reported for any patient. However, wrapping the suture or staple line of a fresh bowel anastomosis with Seprafilm should be avoided, because the data suggest that this practice may increase the risk of sequelae associated with anastomotic leak.
Intestinal and Peritoneal AdhesionsHernia repair and managementSurgical Sutures and AdhesivesMedicineSurgeryAdhesionPeritonitisFistulaBowel resectionAbscessRandomized controlled trialAbdomenBowel obstruction
MeSH terms
AbdomenTissue AdhesionsAdultBiocompatible MaterialsFemaleForeign-Body ReactionHumansHyaluronic AcidMaleMembranes, ArtificialMiddle AgedPelvisPostoperative ComplicationsProspective StudiesPulmonary Embolism
Citations
369
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13.74
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24
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99%
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Cited by
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References
IIeal Pouch-Anal Anastomoses Complications and Function in 1005 Patients
Annals of Surgery · 1995 · 1,206 citations
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