Pathogenesis of adhesion formation/reformation: Application to reproductive pelvic surgery

Michael P. Diamond, Alan H. Decherney

Research output: Contribution to journalArticle

121 Scopus citations

Abstract

Pelvic adhesions are a major contributing factor to infertility in women with tubal peritoneal disease. Surgical treatment of such adhesions often does not resolve their presence. Such postoperative adhesion formation occurs despite the use of microsurgical techniques in a wide variety of surgical adjuvants. The process of adhesion formation represents a variation of the normal healing process of the peritoneum. However, rather than normal mesothelial healing, the fibrinous mass resulting from the peritoneal defect is infiltrated by fibroblasts with subsequent adhesion formation. A description of the pathophysiology of this process is described. The current understanding of the pathologic/pathophysiologic interaction of the surgical adjuvants with this process is described.

Original languageEnglish (US)
Pages (from-to)103-107
Number of pages5
JournalMicrosurgery
Volume8
Issue number2
DOIs
StatePublished - 1987
Externally publishedYes

ASJC Scopus subject areas

  • Surgery

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