Journal Mobile Options
Table of Contents
Vol. 15, No. 2, 1998
Issue release date: 1998
Section title: Laparoscopic Surgery in the Rat and Adhesion Formation
Dig Surg 1998;15:145–147
(DOI:10.1159/000018608)

Laparoscopy versus Laparotomy:Compari son of Adhesion-Formation after Bowel Resection in a Canine Model

Schippers E. · Tittel A. · Öttinger A. · Schumpelick V.
Department of Surgery, Technical University Aachen, Germany

Do you have an account?

Register and profit from personalized services (MyKarger) Login Information

Please create your User ID & Password





Contact Information









I have read the Karger Terms and Conditions and agree.

Register and profit from personalized services (MyKarger) Login Information

Please create your User ID & Password





Contact Information









I have read the Karger Terms and Conditions and agree.

To view the fulltext, please log in

To view the pdf, please log in

Buy

  • FullText & PDF
  • Unlimited re-access via MyKarger (new!)
  • Unrestricted printing, no saving restrictions for personal use
  • Reduced rates with a PPV account
read more

Direct: USD 33.00
Account: USD 23.00

Select

Rent/Cloud

  • Rent for 48h to view
  • Buy Cloud Access for unlimited viewing via different devices
  • Synchronizing in the ReadCube Cloud
  • Printing and saving restriction apply

Rental: USD 8.50
Cloud: USD 20.00

Select

Subscribe

  • Automatic perpetual access to all articles of the subscribed year(s)
  • Unlimited re-access via Subscriber Login or MyKarger
  • Unrestricted printing, no saving restrictions for personal use
read more

Subcription rates


Select


Article / Publication Details

First-Page Preview
Abstract of Laparoscopic Surgery in the Rat and Adhesion Formation

Published online: 4/11/1998

Number of Print Pages: 3
Number of Figures: 2
Number of Tables: 2

ISSN: 0253-4886 (Print)
eISSN: 1421-9883 (Online)

For additional information: http://www.karger.com/DSU

Abstract

Aim: The purpose of the study was to compare adhesions following laparoscopic and conventional operations. Methods: In 14 dogs cecal resection and a deserosation of the abdominal wall were performed laparoscopically (n = 7) or by laparotomy (n = 7). After 8 days all dogs were reexamined and the adhesions were quantified by computer-aided measurements. The significance of any differences were tested using Student’s t test. Results: The extent of adhesions after laparoscopy (630 ± 360 mm2) and after laparotomy (3,300 ± 1,007 mm2) differed significantly (p < 0.0001). Extensive adhesions to the abdominal incision and interenteric adhesions were found after conventional operations. Identical manipulations, such as cecal resection or deserosation of the lateral wall, led to the same frequency and extent of adhesions in both operation groups. Conclusion: Laparoscopic procedures are associated with significantly less adhesions in comparison to conventional operations. Therefore the risk of adhesion-related complications should be reduced after laparoscopic operations.


Article / Publication Details

First-Page Preview
Abstract of Laparoscopic Surgery in the Rat and Adhesion Formation

Published online: 4/11/1998

Number of Print Pages: 3
Number of Figures: 2
Number of Tables: 2

ISSN: 0253-4886 (Print)
eISSN: 1421-9883 (Online)

For additional information: http://www.karger.com/DSU


Copyright / Drug Dosage

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

References

  1. Schwemmle K: Ursachen von Verwachsungen im Abdomen. Langenbecks Arch Chir 1990(suppl II):1017–1021.
  2. Willital GH, Dietl KH, Meier H: Ein neues Therapiekonzept zur postoperativen Adhäsionsprophylaxe. Med Welt 1986;37:288–296.
  3. Treutner KH, Winkeltau G, Lerch MM, Stadel R, Schumpelick V: Postoperative, intraabdominelle Adhäsionen: Ein neues standardisiertes und objektives Tiermodell und Testung von Substanzen zur Adhäsionsprophylaxe. Langenbecks Arch Chir 1989;374:99–104.
  4. Filmar S, Gomel V, McComb PF: Operative laparoscopy versus open abdominal surgery: A comparative study on postoperative adhesion formation in the rat model. Fertil Steril 1987;48:486–489.
  5. Luciano AA, Maier DB, Koch EI, Nulsen JC, Whitman GF: A comparative study of postoperative adhesions following laser surgery by laparoscopy versus laparotomy in the rabbit model. Obstet Gynecol 1989;74:220–224.
  6. Lundorf P, Hahlin M, Kallfelt B, Thorburn J, Lindblom B: Adhesion formation after laparoscopic surgery in tubal pregnancy: A randomized trial versus laparotomy. Fertil Steril 1991;55:911–915.
  7. Raferty AT: Effect of peritoneal trauma on peritoneal fibrinolytic activity and intraperitoneal adhesion formation. Eur Surg Res 1981;13:397–401.

    External Resources

  8. Renvall SY: Peritoneal metabolism and intra-abdominal adhesion formation. Acta Chir Scand 1980;508(suppl):4–48.
  9. Zühlke HV, Lorenz EMP, Straub EM, Savas V: Pathophysiologie und Klassifikation von Adhäsionen. Langenbecks Arch Chir 1990(suppl II):1009–1016.
  10. Tittel A, Schippers E, Grablowitz V, Pollidova M, Anurov M, Öttinger A, Schumpelick V: Intra-abdominal humidity and electromyographic activity of the gastrointestinal tract: Laparoscopy versus laparotomy. Surg Endosc 1995;9:786–790.