COMPARISON OF METHODS FOR PREVENTING ADHESION FORMATION AFTER PELVIC SURGERY

Adhesive process is a serious clinical problem in gynecological surgery of the 21st century. The process itself is the appearance of fibrous bridges between the internal organs of the peritoneum and pelvis after mechanical, physical or infectious effects on them. Currently, conservative treatment of adhesive disease is ineffective, and recurrence of adhesions is possible in up to 71% of patients who have undergone abdominal surgery. In gynecological practice, according to WHO, adhesive disease develops at occlusion of the fallopian tubes, after appendectomy in 15% of patients and after surgical interventions on the ovaries, after myomectomy in 60-80% of patients. The article discusses options for preventing adhesive disease based on the comparative characteristics of barrier methods for preventing adhesion formation and the use of immunomodulating drugs.