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Effect of 4DryField® PH, a Novel Adhesion Barrier, on Recurrence of Intestinal Adhesions after Extensive Visceral Adhesiolysis
Joint Authors
Blumhardt, Gerhard
Haas, Matthias
Polte, Stefanie
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-03-11
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Adhesions occur after up to 97% of abdominal interventions causing chronic pain, infertility, and intestinal obstruction.
Various concepts to prevent adhesions have been presented but mostly either have low efficacy or are not applicable in resective intestinal surgery or incomplete hemostasis.
In this retrospective one-center clinical trial, the course of patients with extensive abdominal adhesiolysis and application of a recent starch-based formulation, 4DryField PH (4DF), is analyzed.
Case Report.
Five female patients (age 65–83 years) underwent extensive open adhesiolysis with application of 4DF gel for adhesion prevention, premixed extracorporeally with saline or Ringer’s solution (60–70 mL per 5 g 4DF) for homogeneous gel distribution on intestinal loops and in the peritoneal cavity.
In addition, dry 4DF powder was dispersed on the greater omentum and subsequently transformed into a gel by dripping with saline or Ringer’s solution directly before abdominal closure.
Patients were followed up for more than two years, except for one patient who died after nine months due to metastases.
One patient with complex situation due to Gore-Tex mesh in the lower abdomen showed no adhesions at scheduled second-look operation but after six months had relaparotomy for adhesiolysis.
All other patients have remained free of adhesions or adhesion-related symptoms during follow-up.
Conclusion.
Considering the extent and complexity of adhesions, treatment with 4DF gel for adhesion prevention after open adhesiolysis appears promising.
Prospective randomized trials should further elaborate on this clinical concept.
American Psychological Association (APA)
Blumhardt, Gerhard& Haas, Matthias& Polte, Stefanie. 2018. Effect of 4DryField® PH, a Novel Adhesion Barrier, on Recurrence of Intestinal Adhesions after Extensive Visceral Adhesiolysis. Case Reports in Surgery،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1151136
Modern Language Association (MLA)
Blumhardt, Gerhard…[et al.]. Effect of 4DryField® PH, a Novel Adhesion Barrier, on Recurrence of Intestinal Adhesions after Extensive Visceral Adhesiolysis. Case Reports in Surgery No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1151136
American Medical Association (AMA)
Blumhardt, Gerhard& Haas, Matthias& Polte, Stefanie. Effect of 4DryField® PH, a Novel Adhesion Barrier, on Recurrence of Intestinal Adhesions after Extensive Visceral Adhesiolysis. Case Reports in Surgery. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1151136
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1151136