Chinese expert consensus on the prevention of abdominal pelvic adhesions after gynecological tumor surgeries
Jinghe Lang, Ding Ma, Yang Xiang, Keqin Hua, Kaijiang Liu, Lingya Pan, Ping Wang, Shuzhong Yao, Fujie Zhao, Wenjun Cheng, Manhua Cui, Hongyan Guo, Ruixia Guo, Hong Li, Peiling Li, Mubiao Liu, Yuanguang Meng, Hui Wang, Jianliu Wang, Wuliang Wang, Ming Wu, Xingsheng Yang, Jun Zhang
Abstract
Adhesion is a postoperative complication that has plagued gynecologists for many years, as 60-90% of gynecological patients develop adhesions after abdominopelvic surgeries. Abdominopelvic adhesions could lead to chronic pelvic pain, infertility, intestinal obstruction, and complicated reoperations. Adhesions might also increase the risk of postoperative chemoradiotherapy failure and endanger patients' lives, especially after surgeries for gynecological malignant tumors. The aim of this consensus was to review the pathogenesis and clinical consequences of adhesions and to summarize various surgical procedures and preventive measures that can reduce the occurrence of adhesions after gynecological tumor surgeries based on a discussion among well-known domestic gynecology specialists.