Chinese expert consensus on the prevention of abdominal pelvic adhesions after gynecological tumor surgeries

Jinghe Lang; Ding Ma; Yang Xiang; Keqin Hua; Kaijiang Liu; Lingya Pan; Ping Wang; Shuzhong Yao; Fujie Zhao; Wenjun Cheng; Manhua Cui; Hongyan Guo; Ruixia Guo; Li Hong; Peiling Li; Mubiao Liu; Yuanguang Meng; Hui Wang; Jianliu Wang; Wuliang Wang; Ming Wu; Xingsheng Yang; Jun Zhang

doi:10.21037/atm.2020.02.53

Chinese expert consensus on the prevention of abdominal pelvic adhesions after gynecological tumor surgeries

Ann Transl Med. 2020 Feb;8(4):79. doi: 10.21037/atm.2020.02.53.

Authors

Jinghe Lang¹, Ding Ma², Yang Xiang¹, Keqin Hua³, Kaijiang Liu⁴, Lingya Pan¹, Ping Wang⁵, Shuzhong Yao⁶, Fujie Zhao⁷, Wenjun Cheng⁸, Manhua Cui⁹, Hongyan Guo¹⁰, Ruixia Guo¹¹, Li Hong¹², Peiling Li¹³, Mubiao Liu¹⁴, Yuanguang Meng¹⁵, Hui Wang², Jianliu Wang¹⁶, Wuliang Wang¹⁷, Ming Wu¹, Xingsheng Yang¹⁸, Jun Zhang¹⁹

Affiliations

¹ Department of Genecology and Obstetrics, Beijing Union Medical College Hospital, Beijing 100140, China.
² Department of Genecology and Obstetrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
³ Department of Genecology and Obstetrics, Fudan University Affiliated Obstetrics and Gynecology Hospital, Shanghai 200032, China.
⁴ Department of Genecology and Obstetrics, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200001, China.
⁵ Department of Genecology and Obstetrics, West China Second University Hospital, Sichuan University, Chengdu 610041, China.
⁶ Department of Genecology and Obstetrics, The First Affiliated Hospital of Zhongshan University, Guangzhou 510080, China.
⁷ Department of Genecology and Obstetrics, Shengjing Hospital Affiliated with China Medical University, Shenyang 110004, China.
⁸ Department of Genecology and Obstetrics, Jiangsu Provincial People's Hospital, Nanjing 210036, China.
⁹ Department of Genecology and Obstetrics, Second Hospital of Jilin University, Changchun 130042, China.
¹⁰ Department of Genecology and Obstetrics, Third Hospital of Peking University, Beijing 100191, China.
¹¹ Department of Genecology and Obstetrics, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.
¹² Department of Genecology and Obstetrics, Wuhan University People's Hospital, Wuhan 430060, China.
¹³ Department of Genecology and Obstetrics, The Second Affiliated Hospital of Harbin Medical University, Harbin 150001, China.
¹⁴ Department of Genecology and Obstetrics, Guangdong Provincial People's Hospital, Guangzhou 510080, China.
¹⁵ Department of Genecology and Obstetrics, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
¹⁶ Department of Genecology and Obstetrics, Peking University People's Hospital, Beijing 100044, China.
¹⁷ Department of Genecology and Obstetrics, The Second Affiliated Hospital, Zhengzhou University, Zhengzhou 450052, China.
¹⁸ Department of Genecology and Obstetrics, Qilu Hospital of Shandong University, Jinan 250012, China.
¹⁹ Department of Genecology and Obstetrics, Beijing Anzhen Hospital, Capital Medical University, Beijing 100011, China.

Abstract

Adhesion is a postoperative complication that has plagued gynecologists for many years, as 60-90% of gynecological patients develop adhesions after abdominopelvic surgeries. Abdominopelvic adhesions could lead to chronic pelvic pain, infertility, intestinal obstruction, and complicated reoperations. Adhesions might also increase the risk of postoperative chemoradiotherapy failure and endanger patients' lives, especially after surgeries for gynecological malignant tumors. The aim of this consensus was to review the pathogenesis and clinical consequences of adhesions and to summarize various surgical procedures and preventive measures that can reduce the occurrence of adhesions after gynecological tumor surgeries based on a discussion among well-known domestic gynecology specialists.

Keywords: Adhesion; expert consensus; prevention; tumor surgery.

Publication types

Review