The inability of Gore-Tex Surgical Membrane to inhibit post-radical pelvic surgery adhesions in the dog model

Gynecol Oncol. 1991 Nov;43(2):141-4. doi: 10.1016/0090-8258(91)90060-i.

Abstract

We investigated the ability of Gore-Tex Surgical Membrane (Gore-SM) to inhibit PRPSA formation in 10 adult female canines undergoing radical hysterectomy, bilateral salpingo-oophorectomy, omentectomy, and resection of the pelvic/abdominal peritoneum. At the time of surgery, one-half of the pelvic/abdominal peritoneal defect was covered with a tailored single layer of the Gore-SM. The membrane was sutured into place with 3-O Dexon in an interrupted manner. Each animal served as its own internal control. No operative/postoperative deaths or postoperative complications occurred. Four weeks postsurgery, euthanasia was effected, necropsy performed, and adhesions quantified. Adhesion scores for the Gore-SM-covered areas (n = 10; mean score, 2.76 +/- 1.47; median, 2.46) were significantly higher than those for control areas (n = 10; mean score, 1.46 +/- 2.13; median, 1.81; P = 0.01). Adhesions to the Gore-SM occurred at wrinkles in or at the edges of the membrane. In contradistinction to the findings of other investigators using different animal models, the Gore-SM appears to increase PRPSA in this unique model.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Dogs
  • Female
  • Membranes, Artificial*
  • Pelvis / surgery*
  • Peritoneal Diseases / pathology
  • Peritoneal Diseases / prevention & control*
  • Postoperative Complications / prevention & control*
  • Tissue Adhesions / pathology
  • Tissue Adhesions / prevention & control

Substances

  • Membranes, Artificial