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Abdominal Adhesions: Current and Novel Therapies
Abstract
An adhesion occurs when two tissues that normally freely move past each other attach via a fibrous bridge. Abdominal adhesions place a tremendous clinical and financial burden on public health. Adhesions develop after nearly every abdominal surgery, commonly causing female infertility, chronic pelvic pain, and, most frequently, small bowel obstruction. A National Hospital Discharge Survey of hospitalizations between 1998 and 2002 reported that 18.1% of hospitalizations were related to abdominal adhesions annually accounting for 948,000 days of inpatient care at an estimated cost of $1.18 billion. This review discusses the current or proposed therapies for abdominal adhesions. While many therapies for abdominal adhesions have been attempted, the need for a definitive therapy to prevent or even reduce abdominal adhesions still exists.
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“Biological coatings can be used to reduce the adhesion between biological tissues [154].”
From Mussel-Inspired Injectable Adhesive Hydrogels for Biomedical Applications (2024) · cites this paper as [154]
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Items 101–200 of 237
Yue, Y.-Z., Yan, S., Li, H.-Z., Zong, Y., Yue, J., & Zeng, L. (2018) · Acta Chirurgica Belgica · doi:10.1080/00015458.2018.1444549 · Cited by 15
“Peritoneal healing is a convoluted course involving hemostasis, inflammation, angiogenesis, formation of granulation tissue, extracellular matrix (ECM) deposition and tissue refurnishing [14,15].”
BackgroundWang, C.-X., Li, X., Meng, X.-H., Zhou, J., Qin, F., & Hou, L. (2014) · Planta Medica · doi:10.1055/s-0034-1382877 · Cited by 15
Nair, S., Saed, G., Atta, H. M., Rajaratnam, V., Diamond, M. P., Curiel, D., & Al-Hendy, A. (2013) · Gynecologic and Obstetric Investigation · doi:10.1159/000353426 · Cited by 15
Progress in Polysaccharide-Based Hydrogels for Preventing Postoperative Adhesions: A Review
Chen, M., Liu, J., Lin, J., Zhuang, K., Shan, Y., Tiwari, S. B., Jiang, L., & Zhang, J. (2025) · Gels · doi:10.3390/gels11030188 · Cited by 12
“Therefore, it is necessary to ensure that the blood at the surgical site has been cleared before using Interceed ® ; this undoubtedly increases the complexity and difficulty of the operation [175,176].”
In situ crosslinked injectable chondroitin sulfate hydrogel for preventing postoperative adhesion.
Wang, S., Zheng, Y.-H., Gao, Y., He, J.-C., Lv, F., Bu, Y., Liu, K.-L., Zhang, Y.-C., Wen, J.-P., Wang, L., et al. (2024) · Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · doi:10.1016/j.biopha.2024.117495 · Cited by 14
Gormley, C. A., Keenan, B. J., Buczek-Thomas, J., Pessoa, A. C. S., Xu, J., Monti, F., Tabeling, P., Holt, R., Nagy, J., & Wong, J. (2019) · Langmuir · doi:10.1021/acs.langmuir.8b03692 · Cited by 14
Biocompatible Nanocomposites for Postoperative Adhesion: A State-of-the-Art Review
Kargozar, S., Gorgani, S., Nazarnezhad, S., & Wang, A. Z. (2023) · Nanomaterials · doi:10.3390/nano14010004 · Cited by 13
Bi-layered carboxymethyl cellulose-collagen vitrigel dual-surface adhesion-prevention membrane.
Wang, Y., Kei, K.-N., Takezawa, T., Horikawa, M., Kaneko, K., Sugimoto, A., Yamawaki-Ogata, A., Narita, Y., & Kato, R. (2022) · Carbohydrate Polymers · doi:10.1016/j.carbpol.2022.119223 · Cited by 13
Hyperglycaemia and the risk of post-surgical adhesion
Ferns, G. A., Hassanian, S. M., & Arjmand, M. (2020) · Archives of Physiology and Biochemistry · doi:10.1080/13813455.2020.1776330 · Cited by 13
“Serious problems are created by adhesion bands for patients such as intestinal obstruction (Menzies 1992), infertility (Ward and Panitch 2011), pelvic pain (Sulaiman et al. 2000), repeated surgeries (Coleman et al. 2000), and economic costs (the Surgical and Clinical Adhesions Research (SCAR)…”
BackgroundBouliaris, K., Asprodini, E., Liakos, P., Diamantis, A., Koukoulis, G., Befani, C., Tzika, S., & Tepetes, K. (2019) · Journal of Surgical Research · doi:10.1016/j.jss.2018.10.003 · Cited by 13
Effects of mTOR Inhibitors in Prevention of Abdominal Adhesions
Guler, S., Çimen, S., Hu, Q., Venkatachalam, A. B., & Alwayn, I. (2016) · Journal of investigative surgery · doi:10.3109/08941939.2016.1149643 · Cited by 13
“Adhesions constitute a challenging problem for both surgeons and patients [27].”
BackgroundCassidy, M., Sherburne, A., Heydrick, S., & Stucchi, A. (2015) · Surgery · doi:10.1016/j.surg.2014.09.031 · Cited by 13
Osawa, H., Nishimura, J., Hiraki, M., Takahashi, H., Haraguchi, N., Hata, T., Ikenaga, M., Murata, K., Yamamoto, H., Mizushima, T., et al. (2016) · Surgery today (Print) · doi:10.1007/s00595-016-1350-4 · Cited by 13
“1 3 leukocytes to the completion of fibrosis, continues for about 7 days [10, 11].”
BackgroundHemoadhican-Based Bioabsorbable Hydrogel for Preventing Postoperative Adhesions.
Lu, W., Wang, X., Kong, C., Chen, S., Hu, C., & Zhang, J.-F. (2024) · ACS Applied Materials and Interfaces · doi:10.1021/acsami.4c01088 · Cited by 12
Hosseini, A., Akhavan, S., Menshaei, M., & Feizi, A. (2018) · Advanced Biomedical Research · doi:10.4103/abr.abr_225_16 · Cited by 12
“They found out with the current state of knowledge about many therapies for abdominal adhesion, a definitive therapy for prevention or reduction of abdominal adhesions still is required.[32]”
Kim, H., Kang, H., Kim, M.-K., & Han, S.-S. (2017) · Journal of laparoendoscopic & advanced surgical techniques. Part A · doi:10.1089/lap.2017.0404 · Cited by 12
“3,11,12 Therefore, many drugs, substances, and surgical interventions have been investigated to modify these responses in an effort to avoid adhesion.”
Bilateral PLA/alginate membranes for the prevention of postsurgical adhesions.
Kessler, M., Esser, E., Groll, J., & Tessmar, J. (2016) · Journal of Biomedical Materials Research. Part B - Applied biomaterials · doi:10.1002/jbm.b.33503 · Cited by 12
Injectable hydrogel from plum pectin as a barrier for prevention of postoperative adhesion
Popov, S., Popova, G., Nikitina, I., Markov, P. A., Latkin, D. S., Golovchenko, V., Patova, O., Krachkovsky, N. S., Smirnov, V., Istomina, E., et al. (2016) · doi:10.1177/0883911516637374 · Cited by 12
Çağlayan, K., Gungor, B., Çınar, H., Erdoğan, N., & Koca, B. (2014) · American Journal of Surgery · doi:10.1016/j.amjsurg.2012.05.038 · Cited by 12
Esser, E., & Tessmar, J. (2013) · Journal of Biomedical Materials Research. Part B - Applied biomaterials · doi:10.1002/jbm.b.32886 · Cited by 12
Ma, Y.-Y., Sun, T.-H., Ren, K.-J., Ma, R.-L., Min, T.-H., Wang, X.-N., Yuan, Y., Xie, X., Zhang, B., Deng, X.-Y., et al. (2025) · Journal of Advanced Research · doi:10.1016/j.jare.2025.02.024 · Cited by 11
“Widely utilized solid membranes like Seprafilm ® and Interceed ® demonstrate restricted applicability due to technical challenges in application, prohibitive costs, and suboptimal biocompatibility [71–74].”
Ibrahim, A., Kamel, W. H., & Soliman, M. (2022) · Research in Veterinary Science · doi:10.1016/j.rvsc.2022.07.018 · Cited by 11
Blockade of Tumor Necrosis Factor by Etanercept Prevents Postoperative Adhesion Formation in Mice.
Sudo, M., Iida, K., Tsutsui, H., Mitani, K., Jimbo, M., Hatano, E., & Fujimoto, J. (2020) · Cellular Physiology and Biochemistry · doi:10.33594/000000286 · Cited by 11
Huang, N.-C., Teng, K.-W., Huang, N.-C., Kang, L.-Y., Fu, K.-Y., Hsieh, P.-S., Dai, L., & Dai, N.-T. (2020) · Annals of Plastic Surgery · doi:10.1097/sap.0000000000002199 · Cited by 11
“Several physical barriers to separate the contact of surgical tissue surfaces, in the form of films or gels, are often used to prevent postoperative adhesion.(7) Polycaprolactone (PCL) is widely used in clinical applications and is a Food and Drug Administration–approved biopolymer.”
BackgroundAnti‐adhesive effects of a newly developed two‐layered gelatin sheet in dogs
Torii, H., Takagi, T., Urabe, M., Tsujimoto, H., Ozamoto, Y., Miyamoto, H., Ikada, Y., & Hagiwara, A. (2017) · The journal of obstetrics and gynaecology research · doi:10.1111/jog.13358 · Cited by 11
“Blood infiltration renders the product completely ineffective for preventing adhesions.(1,9,10)”
BackgroundTramuta, C., Nebbia, P., Robino, P., Giusto, G., Gandini, M., Chiadò-Cutin, S., & Grego, E. (2017) · Schweizer Archiv für Tierheilkunde · doi:10.17236/sat00106 · Cited by 11
“…SVS Antibacterial activities of Manuka and Honeydew honey-based membranes against bacteria that cause wound infections in animals C. Tramuta et al. wounds that are unresponsive to conventional antibiotics and antiseptics, thereby reducing post-operative adhesion formation (Ward and Panitch, 2011).”
BackgroundDabrowski, A., Lepère, M., Zaranis, C., Coelio, C., & Hauters, P. (2016) · Surgical Endoscopy · doi:10.1007/s00464-015-4484-3 · Cited by 11
“Undesirable intraperitoneal adhesions are the most frequent cause of late complications following abdominal surgeries: They have been known to reach an occurrence rate as high as 90 % [3–5, 8] and can have serious impacts on health [2] and quality of life.”
BackgroundLang, R., Baumann, P., Schmoor, C., Odermatt, E., Wente, M., & Jauch, K. (2015) · Annals of Surgical Innovation and Research · doi:10.1186/s13022-015-0014-1 · Cited by 11
“Products consisting of hyaluronic acid, CMC, oxidized regenerated cellulose, extended polytetrafluoroethylene, polysaccharide, fibrin, crystalloids, phospholipids and polyethylene glycol have been tested for efficacy [1, 2, 4].”
BackgroundCaglayan, E., Çağlayan, K., Erdoğan, N., Çınar, H., & Güngör, B. (2014) · European Journal of Obstetrics, Gynecology, and Reproductive Biology · doi:10.1016/j.ejogrb.2014.07.004 · Cited by 11
“Intra-abdominal adhesions occur in 90% of patients who undergo laparotomy, and lead to intestinal obstruction in 74% of cases, chronic pelvic pain in 20% of cases and infertility in 15–20% of cases [5,15,16].”
BackgroundMethodAdhesion-preventing properties of 4% icodextrin and canola oil: a comparative experimental study
Yiğitler, C., Karakaş, D., Kucukodaci, Z., Coşar, A., Güleç, B., & Akin, M. (2012) · Clinics · doi:10.6061/clinics/2012(11)14 · Cited by 11
“In addition to these techniques, a wide range of biologically active substances in the form of simple fluids, gels and solids, either combined or alone, have been investigated both clinically and experimentally to reduce or prevent abdominal adhesions (19).”
BackgroundNanotechnology-Based Therapies for Preventing Post-Surgical Adhesions
Teo, Z., Senthilkumar, S. D., & Srinivasan, D. K. (2025) · Pharmaceutics · doi:10.3390/pharmaceutics17030389 · Cited by 10
“Others have shown only minimal improvements in animal models [29].”
Postoperative Adhesions: Current Research on Mechanisms, Therapeutics and Preventative Measures
Morris, R. J., Nori, T., Sandler, A. D., & Kofinas, P. (2024) · Biomedical Materials & Devices · doi:10.1007/s44174-024-00236-7 · Cited by 10
“The interplay-ing complexity of the various factors in adhesions formation is a likely reason for this, where the reduction of one cellular mediator such as TGF-β is not enough to stop adhesions [174].”
Wang, Z., Li, E., Zhou, C., Qu, B., Shen, T., Lian, J., Li, G., Ren, Y., Wu, Y., Xu, Q., et al. (2023) · Journal of Investigative Surgery · doi:10.1080/08941939.2023.2225104 · Cited by 11
“Previous studies have shown that stable adhesions are generally formed on POD 7 [13–15], so we selected POD 7 to observe adhesions in different groups (Figure 2A).”
ResultWidiyanti, P., & Priskawati, Y. C. A. (2023) · International Journal of Biomaterials · doi:10.1155/2023/5172391 · Cited by 10
“Tis hydrogel can be applied with injectable, spray, or laparoscopic methods [9].”
MethodYahyazadeh, R., Rahimi, V. B., Mohajeri, S. A., Iranshahy, M., Yahyazadeh, A., Hasanpour, M., Iranshahi, M., & Askari, V. R. (2023) · Evidence-based Complementary and Alternative Medicine · doi:10.1155/2023/4086631 · Cited by 9
“Terefore, to reach the aim of prevention and treatment of adhesions, we should omit profbrotic signals and decrease the extreme accumulation of fbrosis [25].”
BackgroundEffect of platelet-rich plasma on postoperative peritoneal inflammation and adhesions
Karakaş, D., Dandin, Ö., Müftüoğlu, T., Tihan, D., Bal, A., & Yildirim, Ş. (2020) · Archives of medical science : AMS · doi:10.5114/aoms.2020.94538 · Cited by 10
“Drugs such as anticoagulants, fibrinolytics, thromboxane A2 receptor inhibitors, non-steroid anti-inflammatory drugs, antihistaminics, growth factor inhibitors or modulators, epidermal growth factor or matrix metalloproteinase provide antiadhesive effects with targeting of the steps of adhesion formation [6].”
BackgroundThe prevention effects of cryptotanshinone nanoemulsion on postoperative peritoneal adhesions
Wang, C.-X., Rishuo, G., Gu, Q.-L., Wang, L.-Y., Hou, L., & Qin, L.-H. (2019) · Drug Development and Industrial Pharmacy · doi:10.1080/03639045.2018.1529788 · Cited by 10
Niu, L., Feng, C., Shen, C., Wang, B., & Zhang, X. (2019) · Journal of Biomedical Materials Research Part B: Applied Biomaterials · doi:10.1002/jbm.b.34294 · Cited by 13
Park, J. W., Bak, K., Cho, T., Chun, H.-J., & Ryu, J. (2016) · Journal of Korean Neurosurgical Society · doi:10.3340/jkns.2016.59.3.250 · Cited by 10
Wang, B., Dong, J., Li, Q.-J., Xiong, Z.-C., Xiong, C., & Chen, D.-L. (2014) · Journal of Biomedical Materials Research. Part A · doi:10.1002/jbm.a.35077 · Cited by 10
Trehalose does not affect the functions of human neutrophils in vitro
Tanaka, K., Kawamura, M., Otake, K., Toiyama, Y., Okugawa, Y., Inoue, Y., Uchida, K., Araki, T., Mohri, Y., & Kusunoki, M. (2014) · Surgery today (Print) · doi:10.1007/s00595-013-0625-2 · Cited by 10
“The serious complications of postoperative adhesion include small bowel obstruction, chronic pain, female infertility, and an increased risk of enterotomy and bleeding on reoperation [2].”
BackgroundSadek, K., Macklon, N., Bruce, K., Cagampang, F., & Cheong, Y. (2011) · Medical Hypotheses · doi:10.1016/j.mehy.2010.11.020 · Cited by 10
Pharmacological aspects of hyaluronic acid metabolism: A review
Kareva, E., & Donskov, S. (2025) · Gynecology · doi:10.26442/20795696.2025.2.203308 · Cited by 9
Sudo, M., Xu, J., Mitani, K., Jimbo, M., Tsutsui, H., Hatano, E., & Fujimoto, J. (2021) · Cellular Physiology and Biochemistry · doi:10.33594/000000392 · Cited by 9
Krause, W., & Webb, T. P. (2014) · American Journal of Surgery · doi:10.1016/j.amjsurg.2014.04.008 · Cited by 9
Comparison of 4 % Icodextrin and Omega 3 Fatty Acids in Prevention of Peritoneal Adhesions
Karakaş, D., Yiğitler, C., Güleç, B., Kucukodaci, Z., Ipçioğlu, O., & Akin, M. (2014) · Indian Journal of Surgery · doi:10.1007/s12262-012-0661-y · Cited by 9
“Many liquid and gel barriers have had some adverse effects such as edema and leakage from the wound edges out of the abdomen [12], but none of them has been reported in studies regarding to ω-3 FA and 4 % icodextrin.”
BackgroundCassidy, M., Sherburne, A., Sheldon, H., Gainsbury, M. L., Heydrick, S., & Stucchi, A. (2013) · Surgery · doi:10.1016/j.surg.2013.08.018 · Cited by 9
“, Cambridge, Mass), which reduce adhesions by preventing apposition of injured tissues.(4,5) Although effective where placed,(6) there are significant limitations to the use of physical barriers, including difficulties with handling and application(7,8) and their ineffectiveness elsewhere in the peritoneum.”
BackgroundLuu, H. D., Chen, A., & Isayeva, I. (2013) · Journal of Biomedical Materials Research. Part B - Applied biomaterials · doi:10.1002/jbm.b.32909 · Cited by 9
Erdi, M., Saruwatari, M. S., Rozyyev, S., Acha, C., Ayyub, O. B., Sandler, A. D., & Kofinas, P. (2023) · ACS Applied Materials & Interfaces · doi:10.1021/acsami.3c00283 · Cited by 15
Hsu, N.-S., Huang, W., Chang, H.-M., Tsai, C.-H., Ku, W.-H., Chang, Y.-C., Lin, S., Chang, L., Lin, R. P.-P., & Tsai, H.-C. (2025) · International Journal of Biological Macromolecules · doi:10.1016/j.ijbiomac.2025.146297 · Cited by 8
Alonso, J. D. M., Rodrigues, K. A., Yamada, A., Watanabe, M. J., Alves, A., Rodrigues, C., & Hussni, C. (2014) · Veterinary Medicine International · doi:10.1155/2014/385392 · Cited by 8
“In this sense, the use of anticoagulants in order to prevent fibrin clots formation possibly inhibits adhesions formation [10, 11].”
BackgroundPark, J.-H., Jeong, S., Lee, Y.-J., Choi, S.-K., Hong, S.-C., Jung, E.-J., Jeong, C.-Y., Ju, Y.-T., & Ha, W. (2013) · Journal of the Korean Surgical Society · doi:10.4174/jkss.2013.84.3.160 · Cited by 8
“Interceed was approved by the US FDA as an AAdA in only open gynecologic pelvic surgery after meticulous hemostasis is completed [6,7].”
BackgroundInfluentialLaparoscopic Adhesiolysis in Chronic Abdominal Pain: 15-Year Follow-up Study
Paajanen, P., Fagerström, A., & Paajanen, H. (2018) · Journal of Clinical Gastroenterology · doi:10.1097/mcg.0000000000000787 · Cited by 8
Laparoscopic ovum pick-up in spotted paca ( Cuniculus pacas )
Barros, F. F. P. D. C., Teixeira, P., Uscategui, R., Coutinho, L., Brito, M., Kawanami, A. E., de Almeida, V. T., Mariano, R. S. G., Nociti, R., Machado, M., et al. (2016) · doi:10.1590/1678-4162-8756 · Cited by 8
“%) added to lidocaine 2%, as this local anesthetic has been awarded as one of the drugs that act on prevention of adhesions, for its possible antiinflammatory effect (Ward and Panitch 2011).”
BackgroundRakhshandeh, H., Rahimi, V. B., Dehghan-Naieri, B., Rahmanian-Devin, P., Jebalbarezy, A., Hasanpour, M., Iranshahi, M., & Askari, V. (2023) · InflammoPharmacology · doi:10.1007/s10787-023-01139-7 · Cited by 7
“Therefore, further investigations seem necessary to find a definitive and safe treatment for post-operational peritoneal adhesions (Ward and Panitch 2011).”
BackgroundSandwich-like scaffold for effective hemostasis and anti-adhesion in cardiac injury
Chen, H., Rahman, M. S. U., Huang, S., Li, S., Wang, J., Li, K., Wu, Y. H., Liu, Y., & Xu, S. (2022) · Materials & Design · doi:10.1016/j.matdes.2022.111533 · Cited by 7
Hyon, W., Hyon, S., & Matsumura, K. (2022) · Carbohydrate Polymer Technologies and Applications · doi:10.1016/j.carpta.2022.100255 · Cited by 7
Murakami, T., Hijikuro, I., Yamashita, K., Tsunoda, S., Hirai, K., Suzuki, T., Sakai, Y., & Tabata, Y. (2019) · Acta Biomaterialia · doi:10.1016/j.actbio.2018.12.009 · Cited by 7
Postoperative abdominal adhesions: pathogenesis and current preventive techniques.
Gumán-Valdivia-Gómez, G., Tena‐Betancourt, E., & de Alva-Coria, P. M. (2018) · Cirugía y Cirujanos · doi:10.24875/ciru.18000511 · Cited by 7
“A reduced degree of efficiency has been found using liquid barriers and gel [12].”
Kim, S.-J., Shin, J.-M., Lee, E. J., Park, I., Lee, H.-M., & Kim, K.-S. (2017) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-017-4669-6 · Cited by 7
Wang, B., Dong, J., Niu, L.-J., Chen, W.-Y., Chen, D.-L., Shen, C.-Y., Zhu, J., & Zhang, X.-M. (2017) · Journal of Biomedical Materials Research. Part B - Applied biomaterials · doi:10.1002/jbm.b.33669 · Cited by 7
Yan, S., Yang, L., Yue, Y.-Z., Li, W.-L., Zeng, L., Yue, J., & Mao, C.-Q. (2016) · Chinese Journal of Integrative Medicine · doi:10.1007/s11655-015-2180-8 · Cited by 7
Research on Mechanisms of Chinese Medicines in Prevention and Treatment of Postoperative Adhesion
Wang, Y.-L., Zhang, H., Chen, Y.-Q., Yang, L.-L., Li, Z., Zhao, M., Li, W.-L., Bian, Y.-Y., & Zeng, L. (2023) · Chinese Journal of Integrative Medicine · doi:10.1007/s11655-023-3735-0 · Cited by 6
“To prevent the occurrence of unwanted side effects, the treatment must only work locally on the damaged tissue.((29))”
BackgroundExploring new therapeutic potentials of curcumin against post-surgical adhesion bands
Askarnia-faal, M., Sayyed-Hosseinian, S.-H., Nazari, S., Asgharzadeh, F., Vahedi, E., Eskandari, M., Ghasemi, H., Avan, A., Alaei, M., Naimi, H., et al. (2023) · BMC Complementary Medicine and Therapies · doi:10.1186/s12906-022-03808-6 · Cited by 6
“33 billion in hospitalization and surgeon expenditures [10].”
BackgroundPresentación y desenlace del manejo conservador en obstrucción intestinal por bridas en el Cauca
Idrobo, A., Bastidas, B. E., Yasno, L. M., Vargas, A., & Galvis, A. M. M. (2020) · doi:10.22516/25007440.517 · Cited by 6
Gómez, G. G.-V., Linares‐Rivera, E., Tena‐Betancourt, E., Castillo, G. A.-D., & Reipen, L. (2020) · doi:10.1111/1744-1633.12405 · Cited by 6
“inflammation, the inactivation of the coagulation cascade or by the surgical placement of biocompatible physical barriers.(16) Among the studies in which heparin (low molecular weight heparin) derivatives have been used successfully, we highlight the research of Fukasawa et al,(17) who attained a notorious decrease in…”
MethodEl-Salamouni, N. S., Gowayed, M. A., & Labib, G. S. (2019) · International Journal of Pharmaceutics · doi:10.1016/j.ijpharm.2019.04.081 · Cited by 7
Forman, M., Gillespie, D. G., Cheng, D., & Jackson, E. (2014) · Digestive Diseases and Sciences · doi:10.1007/s10620-014-3139-x · Cited by 6
“Post-surgical adhesions remain a common clinical problem occurring in 93 % of patients undergoing abdominal surgery, resulting in infertility, obstruction of the small bowel and chronic pelvic pain [1, 2].”
BackgroundInfluentialHistopathological assessment of nano n-acetyl cysteine effect on postoperative adhesion in rats
Shahzamani, S., Jahandideh, A., Abedi, G., Akbarzadeh, A., Hesaraki, S., & Parsaei, P. (2021) · doi:10.33899/ijvs.2020.126857.1400 · Cited by 6
“It is estimated that postoperative adhesions happen in at least 90% of all patients undergoing abdominal surgery (1).”
BackgroundOxychlorine species suppress postsurgical adhesions in rats.
Zavala-Rodriguez, J. M., Rovelo, J. M. C., Martinez-Morales, N., Muñoz-Arce, C., Bobadilla-Lugo, R. A., Kross, R., Medina, R., & Villanueva, C. (2014) · Journal of Surgical Research · doi:10.1016/j.jss.2013.07.043 · Cited by 6
Okur, S., Yanmaz, L., Bolat, İ., Golgeli, A., Tarık, O. Ö., Okur, D. T., Kılıçlıoğlu, M., & Baykal, B. (2024) · Journal of Thermal Biology · doi:10.1016/j.jtherbio.2024.103920 · Cited by 5
Acute Intestinal Obstruction: A 1-Year Prospective Audit into Causes
Udo, I., & Ugochukwu, O. (2023) · Journal of the West African College of Surgeons · doi:10.4103/jwas.jwas_213_22 · Cited by 5
“Adhesions are the consequence of mesothelial injury occurring during abdominal surgery,[15] leading to fibrous scar formation which cause adherence of loops of the intestines to one another, to omentum, the peritoneal lining, and the scar on the abdominal wall.”
BackgroundLim, J.-I. (2020) · Journal of Biomaterials Science. Polymer Edition · doi:10.1080/09205063.2020.1795460 · Cited by 5
Mavigök, E., Bakacak, M., Yazar, F., Bakacak, Z., Yaylalı, A., Boran, Ö. F., & Bahar, A. (2019) · Ginekologia Polska · doi:10.5603/gp.2019.0088 · Cited by 5
“pl/ginekologia_polska removed from the region, they combine with coagulation factors such as Factor VIII, becoming insoluble, and create a fibrin gel matrix [2, 3].”
BackgroundExtrudable salicylic acid-based poly(anhydride-esters) for injectable drug releasing applications
Snyder, S., Cao, Y., & Uhrich, K. (2019) · Journal of bioactive and compatible polymers (Print) · doi:10.1177/0883911519834808 · Cited by 5
Evaluation of polyamide surgical mesh as an abdominal ventral implant in rabbits.
Dória, R., de Freitas, S. H., Hayasaka, Y. D. B., Hage, M. C. F. N. S., Strefezzi, R. D. F., Carregaro, A. B., Reginato, G., Ambrósio, C., & Müller, A. (2018) · Acta Cirurgica Brasileira · doi:10.1590/s0102-865020180050000008 · Cited by 5
Newly Developed Polyglycolic Acid Reinforcement Unified with Sodium Alginate to Prevent Adhesion
Morita, S., Takagi, T., Abe, R., Tsujimoto, H., Ozamoto, Y., Torii, H., & Hagiwara, A. (2018) · BioMed Research International · doi:10.1155/2018/4515949 · Cited by 5
Chen, Y., Wang, J., Wang, Y., Liu, Z., Ying, J., Zhou, X., Zhou, T., Haiping, J., Liu, X., & Zhou, Q. (2025) · Biomaterials · doi:10.1016/j.biomaterials.2025.123972 · Cited by 3
Pham, D., Pham, B., & Ng, M. K. (2024) · Cureus · doi:10.7759/cureus.75849 · Cited by 4
“Although being relatively novel, VersaWrap is used in a variety of surgical procedures to protect tendons [11] and peripheral nerves [10] from postoperative tethering.”
Guo, Z., Zhang, F., Wu, H., Gao, G., Zhu, K., Qi, Y., & He, M. (2023) · International journal of abdominal wall and hernia surgery · doi:10.4103/ijawhs.ijawhs_40_23 · Cited by 4
Stratakis, K., Arkoumanis, T., Liakea, A., Nikiteas, N., Zargaran, D., Zargaran, A., Kontzoglou, K., Kyriakopoulou, P., & Perrea, D. (2022) · Chirurgia · doi:10.21614/chirurgia.2737 · Cited by 4
“Intra-abdominal adhesions appear to correlate with female infertility, pelvic pain, interstitial obstruction and increased post operative cost (2,3).”
BackgroundO’Dwyer, J., O'Cearbhaill, R. E., Wylie, R., O'Mahony, S., O'Dwyer, M. E., Duffy, G. P., & Dolan, E. B. (2020) · Advanced Therapeutics · doi:10.1002/adtp.202000144 · Cited by 4
Effect of Malva sylvestris Extract on Postoperative Peritoneal Adhesion in Rats
Jomezadeh, V., Sheibani, S., Tavassoli, A., Karimani, A., Zirak, M., Mohammadpour, A., Khakzad, M., Afshar, M., & Tavassoli, F. (2019) · Jundishapur Journal of Natural Pharmaceutical Products · doi:10.5812/jjnpp.12069 · Cited by 4
“Adhesions lead to complications such as pain and bowel obstruction; thus, a second operation called adhesiolysis is required for breaking the adhesions (5), which, in turn, imposes risks including blood loss, injury to bladder and bowel, and infertility (6).”
BackgroundSpens, K., Bird, L., & Bright, P. (2017) · Journal of Bodywork & Movement Therapies · doi:10.1016/j.jbmt.2017.09.019 · Cited by 4
Prevention of adhesion in laparoscopic gynaecological surgery
Patel, S., & Yadav, A. (2016) · doi:10.18203/2320-1770.ijrcog20164311 · Cited by 4
Gemici, K., Kucukpinar, T., Çifter, Ç., Okuş, A., & Ay, S. (2014) · Bratislava Medical Journal · doi:10.4149/bll_2014_144 · Cited by 4
“We believe that efforts aimed at preventing adhesions can be improved when the process of recovery of peritoneum is better understood (2).”
BackgroundEffects of Novel Cross-Linked Chondroitin Sulfate (SI-449) as a Postoperative Anti-Adhesion Barrier.
Toyama, K., Takahashi, K., Funayama, S., & Yoshioka, K. (2024) · Journal of Surgical Research · doi:10.1016/j.jss.2024.10.016 · Cited by 3
Advances in Polyethylene Glycol-Based Materials in Peritoneal Adhesions
Zhou, M., Wu, W.-M., Yang, S., Zhou, B., Zhang, Z., Liu, Z.-T., Li, K., & Hu, X. (2024) · Journal of Biomaterials and Tissue Engineering · doi:10.1166/jbt.2024.3366 · Cited by 3
Hsieh, T., & Hsu, C.-W. (2022) · Medicine · doi:10.1097/md.0000000000028692 · Cited by 3
Anti‐adhesive effect of chondrocyte‐derived extracellular matrix surface‐modified with poly‐L‐lysine
Song, B., Park, I., Park, D., Kim, Y. J., Kim, M., Lee, K., Park, S. R., Choi, B., & Min, B.-H. (2021) · Journal of Tissue Engineering and Regenerative Medicine · doi:10.1002/term.3263 · Cited by 3
“…membranes; gold foil; mineral oil; sheets made of rubber, sodium hyaluronate (HA), gelatin, and carboxymethyl cellulose (CMC); extracellular matrices (ECMs), and Teflon have been used to reduce the risk of adhesion formation (Lalountas et al., 2010; Lensen & Schulte, 2011; Ward & Panitch, 2011).”
MethodAyawaila, M., Lahunduitan, I., Tjandra, F., Langi, F., & Adiani, S. (2021) · JBN (Jurnal Bedah Nasional) · doi:10.24843/jbn.2021.v05.i02.p01 · Cited by 3
“000 kasus.(4,16,17) Pemakaian obat-obatan farmakologik sebagai ajuvan juga telah banyak dilakukan”
BackgroundRichter, B., Sänger, C., Mussbach, F., Scheuerlein, H., Settmacher, U., & Dahmen, U. (2017) · Journal of visceral surgery · doi:10.1016/j.jviscsurg.2017.02.005 · Cited by 3
Mariano, R., Uscategui, R., Nociti, R., Santos, V., Padilha-Nakaghi, L., Barros, F., Silva, M., Malta, C., Bonato, D., Vicente, W., et al. (2016) · doi:10.17221/8414-vetmed · Cited by 3
“Formation of adhesions may affect convalescence and future production and reproduction of the animals with high genetic potential (Teixeira et al. 2011; Ward and Panitch 2011).”
BackgroundInfluentialMettler, L. (2014) · Open Journal of Obstetrics and Gynecology · doi:10.4236/ojog.2014.43022 · Cited by 3
“Concerning Pharmacological agents the list of options for adhesion prevention is long and these agents may be promising for the future, but no effective pharmacological agent has become available for the human use yet [15].”
BackgroundKöm, M. (2013) · doi:10.9775/kvfd.2013.8406 · Cited by 3
“An current approach to increase the efficacy of barriers or drugs could be improved the synergistic effect of various combinations without causing significant complications [4,9,19-23,26,28].”
BackgroundInfluentialPhysical and biological properties of a novel anti-adhesive punctate uneven gelatin film
Ozamoto, Y., Horii, T., Morita, S., Tsujimoto, H., Oe, Y., Minato, H., Ueda, J., Ichikawa, H., Kawauchi, A., Hagiwara, A., et al. (2025) · PLOS ONE · doi:10.1371/journal.pone.0314159 · Cited by 2
Dalbaşı, E., Tüzün, A., Arserim, N., Özcan, F., Doğan, E., & Çetin, A. (2022) · Ulusal Travma Ve Acil Cerrahi Dergisi-turkish Journal of Trauma & Emergency Surgery · doi:10.14744/tjtes.2021.04134 · Cited by 2
“[3] Today, when the literature on the studies to prevent adhesion development is reviewed, it is seen that substances preventing proliferation, inflammation, and fibrin production and chemotherapeutic drugs are used in addition to solid, gel, and solution barriers.[4,5] However, an effective method or drug has not yet…”
Fibrostenotic Inflammatory Bowel Disease
Rieder, F. (2018) · Cambridge International Law Journal · doi:10.1007/978-3-319-90578-5 · Cited by 2
“The development of fibrosis is preceded by a period of initial inflammation, and not all patients with CD express a fibrostenotic phenotype [124, 132, 133].”
BackgroundHydrogen sulfide prevents postoperative adhesion in a rat uterine horn model.
Xia, Y., Zhu, Y.-Z., & Xu, C.-J. (2017) · Taiwanese Journal of Obstetrics & Gynecology · doi:10.1016/j.tjog.2016.09.004 · Cited by 2
Internal mimics hernias and their mimics: How would radiologists help?
Hamimi, A., & Yunus, T. E. (2014) · doi:10.1016/j.ejrnm.2014.06.007 · Cited by 2
Metadata
- Authors
- Ward, B. C., & Panitch, A.
- Affiliations
- Purdue University West Lafayette (US)
- Corresponding author
- Panitch, Alyssa
- Venue
- Journal of Surgical Research
- Publisher
- Elsevier BV
- Published
- 2011-01
- Volume
- 165
- Issue
- 1
- Pages
- 91-111
- ISSN
- 0022-4804 (ISSN-L)
- OpenAlex
- W2122017924
- Cited by
- 249
- References
- 315
- Citations by year
- 2026: 11 · 2025: 17 · 2024: 13 · 2023: 18 · 2022: 17 · 2021: 14 · 2020: 18 · 2019: 19 · 2018: 21 · 2017: 18 · 2016: 15 · 2015: 16 · 2014: 21 · 2013: 12 · 2012: 10
- FWCI
- 1.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Surgical Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (K25HL074968)
- National Institute of General Medical Sciences (GM 077229, T32GM077229)
- Topics
- Health Sciences › Medicine › Surgery › Intestinal and Peritoneal Adhesions
- Health Sciences › Medicine › Surgery › Hernia repair and management
- Health Sciences › Medicine › Surgery › Surgical Sutures and Adhesives
- Keywords
- peritoneal adhesions, postoperative adhesions, adhesion prevention, small bowel obstruction, female infertility, chronic pelvic pain, abdominal surgery complications
- MeSH terms
- Abdomen, Tissue Adhesions, Animals, Cellulose, Oxidized, Humans, Hyaluronic Acid
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