![]() We assessed the overall quality of the evidence using GRADE methods. Data collection and analysis: We used standard methodological procedures recommended by Cochrane. Selection criteria: Randomised controlled trials investigating the use of fluid (including gel) and pharmacological agents to prevent adhesions after gynaecological surgery. We also checked the reference lists of relevant papers and contacted experts in the field. Search methods: We searched: the Cochrane Gynaecology and Fertility Specialised Register, CENTRAL, MEDLINE, Embase, PsycINFO, and Epistemonikos to 22 August 2019. Objectives: To evaluate the effectiveness and safety of fluid and pharmacological agents on rates of pain, live births, and adhesion prevention in women undergoing gynaecological surgery. Strategies to prevent adhesion formation include the use of fluid (also called hydroflotation) and gel agents, which aim to prevent healing tissues from touching one another, or drugs, aimed to change an aspect of the healing process, to make adhesions less likely to form. Adhesions also increase the likelihood of further surgery, causing distress and unnecessary expenses. Adhesions are associated with comorbidities, including pelvic pain, subfertility, and small bowel obstruction. ![]() They are caused by conditions that include pelvic inflammatory disease and endometriosis. Background: Adhesions are fibrin bands that are a common consequence of gynaecological surgery.
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![]() Reminna is available in most of the distribution repositories. It may not be very easy to use for new users. ![]()
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