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ENTERING ON A CREATIVE AND ENTERPRISING PROJECT, DRS. DIZEREGA and
Rodgers have taken an innovative look at the peritoneum. They have
provided an interesting, informative, and stimulating text about an
organ that is rarely considered independently-usually being thought
of only as a part of other organs or organ systems. The peritoneum
is an active membrane that serves as both a secretory organ and a
structure that modulates diffusion and osmosis. Both of these
important functions are described in great detail. The text is
divided in classic fashion. The authors first examine the
peritoneal anatomy from both macro and cellular viewpoints, during
which exploration it becomes clear that what appears simply to be a
lacy covering over abdominal organs actually is a complex
structure. Fur thermore, during the discussion on its embryologic
development the au thors make comprehensible the complexity
confronting the student of the peritoneum. The authors then proceed
to the practicalities associated with this im portant organ. To
surgeons, for example, the key to the peritoneum is understanding
the organ's repair mechanism, as it is adhesions formed on the
peritoneal surfaces that interfere with the surgeon's hope of
success."
Recent years have seen important advances in the technology and
techniques available to surgeons performing gynecologic surgery as
well as reconstructive of clinical pelvic procedures. These
developments took place in a wide variety settings from regional
teaching centers to private clinical facilities. In 1996, the
leading investigators from around the world gathered to discuss the
present status of pelvic surgery and adhesion prevention with a
look toward the future of patient care. This volume contains the
proceedings of that meeting: the Third Interna tional Congress on
Pelvic Surgery and Adhesion Prevention. Each chapter in cludes the
material presented at the congress as well as a timely update of
the authors' latest research and clinical thinking. Presentation
integrating basic and clinical science provide the basis for con
sidering peritoneal repair after surgery including the interaction
of growth factors and other biochemical messengers. Research has
increased the understanding of mesothelial reepithelialization and
has led to new surgical technologies to reduce adhesion fonnation.
A state-of-the-art review of emerging surgical adjuvants for
adhesion prevention is provided, including discussion of barriers,
gels, and poly mers as well as "designer" drugs effective at
modifying the peritoneal response to injury. Assessment of clinical
outcome in a wide variety of gynecologic surgical procedures brings
into focus the benefits available as a result of these new tech
nologies."
Peritoneal Surgery addresses the response of the peritoneum to
injury and the prevention of post-surgical adhesions resulting from
general and gynecologic surgery. Adhesions, or scar tissue binding
two normally separate surfaces, form when the peritoneum, the
membrane covering the abdominal wall and protecting the inner
organs, is damaged during surgery, inflammation, or injury.
Negative complications from adhesions include pelvic pain,
infertility, intestinal obstruction, multiple surgical
complications resulting from surgery to remove or pull them apart,
and therefore a greater surgical workload and economic burden to
the healthcare system. In this book, experts in the field address
peritoneal repair, the role of surgical technique to prevent
adhesions, adhesion formation, complications of adhesions, and
developing technology in the prevention of adhesions.
Recent years have seen important advances in the technology and
techniques available to surgeons performing gynecologic surgery as
well as reconstructive of clinical pelvic procedures. These
developments took place in a wide variety settings from regional
teaching centers to private clinical facilities. In 1996, the
leading investigators from around the world gathered to discuss the
present status of pelvic surgery and adhesion prevention with a
look toward the future of patient care. This volume contains the
proceedings of that meeting: the Third Interna tional Congress on
Pelvic Surgery and Adhesion Prevention. Each chapter in cludes the
material presented at the congress as well as a timely update of
the authors' latest research and clinical thinking. Presentation
integrating basic and clinical science provide the basis for con
sidering peritoneal repair after surgery including the interaction
of growth factors and other biochemical messengers. Research has
increased the understanding of mesothelial reepithelialization and
has led to new surgical technologies to reduce adhesion fonnation.
A state-of-the-art review of emerging surgical adjuvants for
adhesion prevention is provided, including discussion of barriers,
gels, and poly mers as well as "designer" drugs effective at
modifying the peritoneal response to injury. Assessment of clinical
outcome in a wide variety of gynecologic surgical procedures brings
into focus the benefits available as a result of these new tech
nologies."
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