Showing papers by "Anthony A. Luciano published in 1991"
89 citations
Journal Article•
TL;DR: The hypothesis that the peritoneal instillation of 32% high-molecular-weight dextran 70 before, rather than after, a surgical procedure results in less postoperative adhesion formation and reformation is tested.
Abstract: Since serosal drying and tissue abrasion play an important role in adhesion formation, we tested the hypothesis that the peritoneal instillation of 32% high-molecular-weight dextran 70 (H) before, rather than after, a surgical procedure results in less postoperative adhesion formation and reformation. Twenty rabbits were subjected to a standardized surgical injury on one ovary, the ipsilateral uterine horn and adjacent parietal peritoneum. Three weeks later the animals underwent a second laparotomy to blindly score the adhesions and subsequently lyse them using microsurgical techniques. The animals were randomly assigned to one of two treatment groups, with H administered either before or at the end of each surgical procedure. Three weeks after the second surgical procedure, the animals were killed to blindly score adhesions. There was no difference in the mean adhesion scores between the two groups after either the first (2.0 versus 2.9, NS) or second surgical procedure (5.5 versus 5.1, NS). Thus, we conclude that preoperative instillation of H does not offer any advantage over postoperative instillation in the prevention of either adhesion formation or reformation.
10 citations
TL;DR: It is suggested that surgical trauma is well tolerated by the ovaries and does not impair subsequent ovarian function, however, rupture of the preovulatory follicle and its release of the oocyte may be influenced by the presence of ovarian adhesions and/or surgical trauma.
10 citations
TL;DR: The data suggest that not closing the ovarian incision does not alter either postoperative adhesion formation or reproductive outcome, as determined by both adhesion Formation and reproductive outcome.
Abstract: The purpose of this study was to ascertain if microsurgical approximation of the ovarian edges after ovarian surgery alters postoperative results, as determined by both adhesion formation ...
7 citations
TL;DR: The present study shows no difference in postoperative adhesion formation or reproductive function following ovarian surgery by microsurgery or CO 2 laser.
Abstract: The present study was undertaken to compare CO2 laser vs microsurgery in ovarian surgery, evaluating both postoperative adhesion formation and reproductive outcome. Eighteen female white N...
4 citations