They were randomized to receive either Adept (227) or LRS (222) as intraoperative irrigations of 100 mL every 30 minutes, followed by a postoperative instillate
of 1,000 mL.
In this article we describe surgical techniques, barriers, and peritoneal instillates
that can help.
The fluids were irrigated at 100 mL/30 min in-traoperatively, and a postoperative instillate of 1 L was left in the pelvic cavity.
This finding may be associated with the large volumes of both fluids as postsurgical instillates.
In recent years preventive strategies including microsurgical techniques, unpowdered gloves, extensive irrigation, adhesion reducing ag ents such as anti-inflammatory agents, peritoneal instillates
and surgical barriers are in use for prevention of adhesions17.
ASRM and SRS reported on three adjuncts to surgical technique that have been proposed to reduce the risk of postoperative adhesions: anti-inflammatory agents, peritoneal instillates
, and adhesion barriers.