Preliminary study with SprayShield<sup>™</sup> Adhesion Barrier System in the prevention of abdominal adhesions

Tomasz Banasiewicz; Karolina Horbacka; Jacek Karoń; Stanisław Malinger; Frantisek Antos; Sławomir Rudzki; Zdenek Kala; Zoran Stojcev; Jyrki Kössi; Piotr Krokowicz

doi:10.5114/wiitm.2011.34884

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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abstract:

Original paper

Preliminary study with SprayShield^™ Adhesion Barrier System in the prevention of abdominal adhesions

Tomasz Banasiewicz

,

Karolina Horbacka

,

Jacek Karoń

,

Stanisław Malinger

,

Frantisek Antos

,

Sławomir Rudzki

,

Zdenek Kala

,

Zoran Stojcev

,

Jyrki Kössi

,

Piotr Krokowicz

Videosurgery Miniinv 2013; 8 (4): 301–309

DOI: https://doi.org/10.5114/wiitm.2011.34884

Online publish date: 2013/05/06

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Introduction: Peritoneal adhesions, the fibrotic bands that form between the surfaces in the peritoneal cavity following surgery, still pose a difficult clinical challenge.

Aim: To evaluate the SprayShield^™ Adhesion Barrier System (PEG ester amine solution and a buffer solution) in reducing post-operative adhesion formation.

Material and methods: This was a prospective, multi-center, randomized, single blind study. A total of 11 subjects diagnosed with ulcerative colitis (UC) or familial adenomatous polyposis (FAP) were randomized: 8 to the SprayShield^™ arm and 3 to the control arm. SprayShield^™ was applied on the viscera directly under the midline peritoneal incision and at the site of ileostomy. During the follow-up surgery, the incidence, extent, and severity of post-operative adhesion formation were evaluated, as well as the time required to mobilize the ileal loop.

Results: In patients who received SprayShield^™ the time required to mobilize the ileal loop at the ileostomy closure was slightly shorter and the incidence and severity of adhesions were somewhat lower vs. control subjects (NS).

Conclusions: SprayShield^™ was found to be easy to use, safe, and quick to apply, and performed well in adherence and conformity. The incidence and severity of adhesions were lower for SprayShield^™ subjects vs. control subjects, but due to the limited number of patients there are not enough data to confirm the effectiveness of the SprayShield^™ Adhesion Barrier System in prevention of adhesions.

keywords:

Preliminary study with SprayShield™ Adhesion Barrier System in the prevention of abdominal adhesions

Tomasz Banasiewicz , Karolina Horbacka , Jacek Karoń , Stanisław Malinger , Frantisek Antos , Sławomir Rudzki , Zdenek Kala , Zoran Stojcev , Jyrki Kössi , Piotr Krokowicz

adhesions, adhesion prevention, laparotomy, ileostomy

Preliminary study with SprayShield^™ Adhesion Barrier System in the prevention of abdominal adhesions

Tomasz Banasiewicz

,

Karolina Horbacka

,

Jacek Karoń

,

Stanisław Malinger

,

Frantisek Antos

,

Sławomir Rudzki

,

Zdenek Kala

,

Zoran Stojcev

,

Jyrki Kössi

,

Piotr Krokowicz