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Chinese expert consensus on the prevention of abdominal pelvic adhesions after gynecological tumor surgeries

机译:中国专家共识:预防妇科肿瘤手术后腹部骨盆粘连

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摘要

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.
机译:粘连是一种引起妇科医师困扰的术后并发症,因为60-90%的妇科患者在腹部盆腔手术后出现粘连。腹盆腔粘连可能导致慢性盆腔疼痛,不孕,肠梗阻和复杂的再次手术。粘连还可能增加术后放化疗失败的风险,并危及患者的生命,尤其是在妇科恶性肿瘤手术后。达成共识的目的是在国内著名妇科专家的讨论下,回顾粘连的发病机理和临床后果,并总结各种可减少妇科肿瘤手术后粘连发生率的外科手术程序和预防措施。

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