Laparoscopic IPAA surgery reduces abdominal and pelvic adhesions

Objectives: Adhesions after open abdominal operations cause >75% of cases of small bowel obstruction. We evaluated adhesions to the anterior abdominal wall and adnexae after laparoscopic ileal pouch anal anastamosis (IPAA).
Methods: Patients who underwent laparoscopic proctocolectomy, IPAA and diverting loop ileostomy for Ulcerative Colitis had laparoscopic evaluation of adhesions at closure of ileostomy to assess adhesions to the anterior abdominal wall and to the adnexae. Adnexal adhesions were quantified using the AFS score. We used Chi-squared analysis to compare this result to a previous report of anterior abdominal wall adhesions after open IPAA surgery with and without Seprafilm [1].
Results: Thirty patients (19 female) were assessed. Thirteen women (68%) had no adnexal adhesions, 5 had filmy adhesions on

Session: Podium Presentation

Program Number: S102

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