Page 11 - WJOLS - Surgery Journal

Clinical Evaluation for Reduction of Adhesions by a Viscoelastic Gel in gynecological Laparoscopic Surgery

Fig. 1: Reduction of AFS adnexal adhesion score by using Oxiplex/AP Gel via laparoscopy. Patients undergoing conservative laparoscopic
surgery had their adnexa covered with Oxiplex/AP Gel (15 ml) or served as surgery-only control. At the time of second look laparoscopy
6-10 weeks later, the adnexa coated with Oxiplex/AP Gel (n ¼ 45) had a significantly (mean ^ SEM; P, 0.01). Lower adnexal AFS score to
control adnexa (n ¼ 41)

Figs 2A to C (A) Reduction of American Fertility Society (AFS) adnexal
adhesion score in patients without endometriosis. (B, insert) Patients
with stage I–IV endometriosis. (C, insert) Patients with stage I–III
endometriosis. Adnexa from patients undergoing conservative
gynecological surgery were coated with Oxiplex/AP Gel (15 ml) or
served as surgery-only controls. Adnexal AFS adhesion scores were
determined at the time of initial surgery as well as at second-look
laparoscopy 6-10 weeks later (mean ^ SEM). Adnexa from patients
undergoing adhesiolysis only who had no endometriosis (A), patients
with AFS stage I–IV endometriosis (B), as well as from those patients
with stage I–III endometriosis (excluding stage IV, C) coated with
Oxiplex/AP Gel showed a significant improvement in adnexal AFS
score compared to controls (P< 0.01)

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