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Pelvic Adhesions: Facts and Controversies

Hammoud, Ahmad O. M.D.; Gago, April L. M.D.; Hammoud, Ihab M.D.; Diamond, Michael P. M.D.

Topics in Obstetrics & Gynecology: April 15th, 2004 - Volume 24 - Issue 7 - p 1–8
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Learning Objectives: After reading this issue, the participant should be able to:

  • Describe the pathophysiology of adhesion formation.
  • Identify the relationships between adhesions and pelvic pain, infertility, and bowel obstruction.
  • Discuss the role of adhesiolysis in pain relief.
  • List different methods of adhesion prevention.

Dr. A. Hammoud is a Resident and Dr. Gago is a Fellow, Division of Reproductive Endocrinology, Department of Obstetrics and Gynecology; Dr. I. Hammoud is a Resident, Department of General Surgery; and Dr. Diamond is Division Director, Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, 4707 St. Antoine Blvd., Wayne State University/The Detroit Medical Center, Detroit, MI 48201; E-mail: mdiamond@med.wayne.edu.

Dr. Diamond has disclosed that he received grant/research support from Genzyme Corp. and that he is/was a consultant for Genzyme Corp. and Johnson & Johnson. Drs. Hammoud, Gago, and Hammoud have disclosed that they have no significant relationships with or financial interests in any commercial organizations pertaining to this educational activity.

The authors have disclosed that the use of Gynecare Interceed and Seprafilm in laparoscopic adhesion prevention as discussed in this article has not been approved by the U.S. Food and Drug Administration.

EDITORS

Edward E. Wallach, M.D.*

Johns Hopkins University

Baltimore, Maryland

Roger D. Kempers, M.D.*

Mayo Clinic and Mayo Foundation

Rochester, Minnesota

EDITORIAL BOARD

Jonathan S. Berek, M.D.

David Geffen School of Medicine at UCLA

Los Angeles, California

Daniel L. Clarke-Pearson, M.D.

Duke University Medical Center

Durham, North Carolina

Harold Fox, M.D.

Johns Hopkins University School of Medicine

Baltimore, Maryland

Charles B. Hammond, M.D.

Duke University Medical Center

Durham, North Carolina

Timothy R.B. Johnson, M.D.

University of Michigan Medical School

Ann Arbor, Michigan

Jack Ludmir, M.D.

Pennsylvania Hospital

Philadelphia, Pennsylvania

Kamran S. Moghissi, M.D.

Wayne State University School of Medicine

Detroit, Michigan

Jennifer R. Niebyl, M.D.

University of Iowa

Iowa City, Iowa

Antonio Pellicer, M.D., Ph.D.

Associate Editor, Spanish Edition

University of Valencia (Ob/Gyn)

Valencia, Spain

John T. Repke, M.D.

Penn State College of Medicine Milton S. Hershey Medical Center

Hershey, Pennsylvania

Nikos Vlahos, M.D.

Johns Hopkins University School of Medicine

Baltimore, Maryland

*The editors have disclosed that they have no significant relationships with or financial interests in any commercial organizations

© 2004 Lippincott Williams & Wilkins, Inc.
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