Optimization of the method of introducing anti-adhesion gel “Аntiadhesin” during laparoscopic access in gynecology

Abstract

Optimization of the method of introducing an anti-adhesive barrier during laparoscopic operations allows surgeons to freely use an anti-adhesive barrier – «Аntiadhesin» – in their practice in order to prevent the occurrence of postoperative adhesions.

Target. To conduct a comparative study of various methods of local delivery of the anti-adhesion gel ‘Antiadgesin” to the abdominal and pelvic organs during laparoscopic interventions in gynecology.

Materials and methods of research. An analysis of 442 cases of laparoscopic operations, 90 cases of operations with laparotomic access and 180 hysteroscopic interventions was carried out, in which Antiadgesin was delivered to the wound surfaces using various conduction systems (applicators). The studies were conducted at the clinical base of the Department of Obstetrics and Gynecology No. 2 of the Stavropol State Medical University, in the department of operative gynecology from 2020 to 2023.

Results. In the course of the study, the effectiveness of using a disposable silicone conductor (applicator) 27 cm long, with an outer diameter of 4 mm and an internal diameter of 3 mm, was established for targeted local delivery of anti-adhesive gel “Antiadgesin” to all hard-to-reach areas of the abdominal cavity and pelvis (including in obese patients). Local targeted delivery allows you to effectively use the volume of gel supplied in the syringe, covering all necessary wound surfaces.