Table 1.
Comparisons of adhesion formation in laparoscopy and laparotomy.
| Author (year) | Animal (#) | Model | Assessment | Results |
|---|---|---|---|---|
| Audebert (2000)26 | Human (345) | Umbilical adhesions after prior laparotomy or laparoscopy | Laparoscopy | Adhesions: 1.6% after laparoscopy, 34% laparotomy |
| Chen (1998)27 | Pig (90) | Pelvic/Para-aortic lymphadenectomy | Laparotomy (3 weeks) | No difference |
| Eller (1997)28 | Pig (62) | Herniorrhaphy | Laparoscopy (4-6 weeks) | Laparotomy-0, laparoscopy-48% adhesions |
| Filmar (1987)29 | Rat (61) | Uterine horn injury | Laparotomy (2 weeks) | No difference |
| Garrard (1999)30 | Pig (21) | Mesh placement | Laparotomy (3 weeks) | Area/extent of adhesions increased with laparotomy or midline incision |
| Jorgensen (1995)31 | Rabbit (20) | Cecal/parietal serosal injury | Laparotomy (1 week) | No difference |
| Krähenbühl (1998)32 | Rat (52) | Fundoplication | Laparotomy (3 weeks) | Laparoscopy produced less dense and fewer adhesions |
| Luciano (1989)33 | Rabbit (20) | Uterine horn and peritoneal injury | Laparotomy/ Laparoscopy (6 weeks) | Laparoscopy reduced adhesion formation |
| Lundorff (1991)34 | Human (73) | Tubal pregnancy | Laparoscopy (12 weeks) | Laparoscopy significantly fewer adhesions |
| Marana (1994)35 | Rabbit (28) | Ovarian injury | Laparoscopy (6 weeks) | No difference |
| Milingos (2000)36 | Human (21) | Perinexal adhesions causing infertility | Laparoscopy (3-6 months) | Slight reduction in adhesions in laparoscopic arm |
| Schippers (1998)37 | Dog (14) | Cecal resection | Laparotomy (8 days) | Laparoscopy significantly fewer and smaller adhesions |