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Bulat Kondratyev
Bulat Kondratyev

Kitchen Draw 6 0 Full Version With Crack 25 BETTER


hysterectomy is the preferred surgical treatment for certain conditions such as endometriosis, fibroids, and dysfunctional uterine bleeding. postoperative adhesion formation is a major source of morbidity and results from an inflammatory response to postoperative surgical trauma. it is estimated that up to 40% of women experience vaginal adhesion formation (461). the incidence of adhesion formation after abdominal and laparoscopic hysterectomy is approximately 20% (462,463). in a study of women who underwent laparoscopic hysterectomy, adhesion formation was detected by transvaginal ultrasonography in 17.5% of women, and abdominal adhesions were identified in 12.2% (464). the risk of adhesion formation and pelvic pain increases with increased numbers of pelvic surgeries (465). adhesion prevention should be considered for patients undergoing multiple laparoscopic or abdominal surgeries (466). all patients should receive intraoperative and postoperative adhesion-reducing measures that include avoiding sharp dissection, use of minimal forceps and sutures, use of blunt-tipped or smooth needles, and meticulous hemostasis (467). because of their demonstrated efficacy in reducing adhesion formation, hydrophilic barriers, such as seprafilm, are recommended for women undergoing laparoscopic hysterectomy (468,469,470). other intraoperative options for reducing adhesion formation include application of fibrin glues, loose vicryl mesh (poliglecaprone 25), or omentum (471). postoperative treatment with an antibiotic ointment, a corticosteroid cream, a vaginal tampon, or a vaginal estrogen pessary might reduce adhesion formation (472,473).




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