Postoperative Intraabdominal Adhesions and Female Infertility
Aboubakr Elnashar*
Benha University Hospital, High Land Park Compound, Egypt
*Corresponding Author: Aboubakr Elnashar, Benha University Hospital, High Land Park Compound, Egypt.
Received:
September 22, 2025; Published: September 30, 2025
Abstract
Postoperative adhesions are a common result of tissue trauma during abdominal or pelvic surgery, occurring in up to 97% of open gynaecologic procedures. They can lead to significant complications, such as small bowel obstruction and chronic pelvic pain, potentially contributing to 40% of female infertility cases. Laparoscopy is the gold standard for diagnosing adhesions due to its direct visualization capabilities. Preventive strategies emphasize microsurgical principles and minimally invasive techniques, which are linked to reduced adhesion risk. Current evidence does not support the efficacy of anti-inflammatory medications or routine use of anti-adhesion solutions like icodextrin. While anti-adhesion barriers may help, they cannot replace good surgical technique. Surgical intervention to address adhesions remains controversial, with inconsistent evidence regarding pain and infertility outcomes.
Keywords: Intraabdominal; Fertility
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