11. ASRM and SRSb, 2008

ASRM and SRSb, 2008. The Practice Committee of the American Society for Reproductive Medicine in collaboration with the Society of Reproductive Surgeons; American Society for Reproductive Medicine, Birmingham, Alabama.

Pathogenesis, consequences, and control of peritoneal adhesions in gynecologic surgery. Fertil Steril 2008;90:S144–9.


Postoperative adhesions are a natural consequence of surgical tissue trauma and healing and may result in infertility, pain, and bowel obstruction. Adherence to microsurgical principles, minimally invasive surgery, and use of some peritoneal instillates may help to decrease post-operative adhesions. Some surgical barriers have been demonstrated effective for reducing postoperative adhesions, but there is no substantial evidence that their use improves fertility, decreases pain, or reduces the incidence of postoperative bowel obstruction.