The authors review the recent international literature dealing with the role of @entity530 in gynaecologic surgery. They point out that @entity530 can be detected via laparatomy or laparoscopy in every third @entity1 suffering from chronic @entity2371 , whereas abdominal adhesions revealed rarely correlate with anamnestic chronic @entity2371 . Correlation of @entity2371 and adhesions is neither consequent nor mutual. Lacking more detailed information on the pathomechanism of @entity158 , the role of the vegetative innervation of the visceral and parietal peritoneum and of the excitation of the nerve fibers in the neoformed-and vascularized adhesions can only be postulated. According to the attractive but not well established theory extensive adhesions can directly provoke @entity158 through fixing the pelvic organs hampering their motility and mobility. It is generally accepted, that lysis of adhesions in symptomatic @entity1 can resolve or reduce the complaints. However the duration of the beneficial effect and its transitoric or definitive nature cannot be predicted in advance. Subsequently the authors review the adjuvant methods complementary to microsurgical techniques possibly preventing the formation and neoformation of @entity530 . Despite of general acceptance and widespread usage, the effectiveness of crystalloids, macromolecular solutions, intraperitoneal heparin and @entity230 in the prevention of adhesions cannot be scientifically supported. The encouraging results already achieved by mechanical barriers (intercede, Gore-Tex) can hopefully be surpassed by biodegradable barriers actually studied in animal models.

[The place of XXXX in gynecology. Possibilities of prevention].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity2371 :: ('MESH:D017699', 'Disease') :: ['pelvic pain'] @entity530 :: ('MESH:D010386', 'Disease') :: ['pelvic adhesions'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity230 :: ('MESH:D013256', 'Chemical') :: ['steroids']
@entity530 :: (MESH:D010386,Disease) :: ['pelvic adhesions']
