ABSTRACT
The article presents our experience with using antiadhesive means "Seprafilm", "Interceed" and "Adept" in patients with abdominal adhesive disease. "Seprafilm" was applied in 18 patients, among them 13 underwent laparoscopic and 5 open adhesiolysis. Liquid antiadhesive barrier "Adept" was used in 53 patients (in 33--laparoscopically and in 20--by laparotomy). "Interceed" mesh was used in 16 patients in open adhesiolysis. The combination of laparoscopy and antiadhesive barrier allows receiving good results by minimization of the operative trauma and influencing the process of adhesion formation. During laparoscopic interventions the application of liquid antiadhesive means is technically more convenient.
Subject(s)
Cellulose, Oxidized/therapeutic use , Peritoneum/surgery , Prostheses and Implants/adverse effects , Tissue Adhesions/prevention & control , Female , Humans , Male , Postoperative Complications/prevention & controlABSTRACT
Analysis of structural and functional maturation of peripheral afferent projections from the skin and muscle receptors of the n. ischiadicus to sensorimotor cortex during postnatal ontogeny in rabbits, as the criterion of functional maturity of the peripheral nervous fibers, had their sensitivity to blocking effect of novocain during its application to the muscle and skin branches of the n. ischiadicus. During the ontogeny, the sensitivity was changing wcich was followed by changes in the shape of the cortical evoked response. The morphological maturity of the peripheral fibers was estimated by the degree of their myelinization. The afferent impulses were found to have different channels of conduction yet at the level of peripheral nervous fibers. This implies participation of different peripheral fibers in organization of EP components in the cortex. The fibers mature heterochronously during the ontogeny, the same is true for maturation of afferent projections from the muscle and skin receptors.
