Reduction of adhesion reformation after laparoscopic endometriosis surgery: a randomized trial with an oxidized regenerated cellulose absorbable barrier

Obstet Gynecol. 1995 Oct;86(4 Pt 1):512-5. doi: 10.1016/0029-7844(95)00241-i.

Abstract

Objective: To evaluate the effectiveness of an oxidized regenerated cellulose absorbable barrier (Interceed [TC7] Absorbable Adhesion Barrier) in the reduction of adhesion reformation after laparoscopic surgery for endometriosis.

Methods: Thirty-two premenopausal nonpregnant women who had severe endometriosis and complete posterior cul-de-sac obliteration and were undergoing laparoscopic surgery were randomly assigned to either surgery alone or surgery and Interceed. None of the subjects received any other treatment for adhesion prevention. Second-look laparoscopy was performed 12-14 weeks after laparoscopic surgery by an investigator blinded to the treatment, and the incidence of adhesion-free subjects was assessed.

Results: Twelve of 16 (75%) women treated with the oxidized regenerated cellulose barrier were free of adhesions, compared with two of 16 (12.5%) controls, a statistically significant difference (P < .05).

Conclusion: The oxidized regenerated cellulose absorbable barrier significantly reduces adhesion reformation after laparoscopic surgery for endometriosis.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Cellulose, Oxidized / therapeutic use*
  • Endometriosis / surgery*
  • Female
  • Genital Diseases, Female / etiology
  • Genital Diseases, Female / prevention & control
  • Humans
  • Laparoscopy / adverse effects*
  • Recurrence
  • Reoperation
  • Single-Blind Method
  • Tissue Adhesions / etiology
  • Tissue Adhesions / prevention & control

Substances

  • Cellulose, Oxidized
  • INTERCEED