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. "One liter is considerably more than is generally left in the pelvic cavity," she said.
Mechanical barriers are available in two forms: free-floating abdominal instillates
or membrane barriers; both prevent adhesion formation by preventing tissue apposition during the time period of peritoneal repair and adhesion development.
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.