[All Steps] Despite progresses in technique, adhesions (the ab- normal connection between tissues inside the body formed during healing following surgery)


Question: Despite progresses in technique, adhesions (the ab- normal connection between tissues inside the body formed during healing following surgery) continue to be a problem in abdominal surgery, such as when operating on the uterus. To see if it would be possible to reduce adhesions following uterine surgery by placing a mem- brane around the area of incision in the uterus, Nurullah Biilbiiller and colleagues operated on the uteruses of two groups of rats, a control group that simply received the surgery and a test group that had the membrane applied over the uterus. This bioresorbable membrane prevented the tissue of the uterus from connecting to other internal organs of the peritoneum (the inside lining of the abdomen), then was slowly absorbed by the surrounding tissue after healing was complete. They allowed the rats to heal, then sacrificed them and measured the amount of adhesions, according to the scale in Table 10-16. The scores for the two groups of rats using the different surgical techniques are in Table 10—12. Does use of the mem- brane affect the extent of adhesions?

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