Hydroflotation

Hydroflotation is a surgical technique used as intraoperative prophylaxis to prevent postoperative adhesion formation inside body cavities, by use of certain solutions.[1] The instilled solution keeps organs in a body cavity afloat and separate from each other.[2] This technique is very frequently used in pelvic and abdominal surgeries.

Solutions used

Some of the solutions that are used include 32% Dextran (outdated and known anaphylactic), normal saline, Ringer's lactate with or without heparin (5000 IU in 200 ml) and Adept (4% icodextrin).[3][4] Normal saline and Ringer's lactate are absorbed within 24 hours, while icodextrin resides for about 5–7 days, the critical time when adhesion formation takes place and it has therefore replaced most crystalloids used for this purpose.[1]

References
  1. Padubidri, Daftary (2010). Shaw's Textbook Of Gynaecology, 15e. Elsevier India. p. 531. ISBN 9788131225486.
  2. Colvin, HS; Rajab, TK (Jun 2010). "Adhesion prevention by hydroflotation". Colorectal Disease. 12 (6): 606. doi:10.1111/j.1463-1318.2009.02132.x. PMID 19912289.
  3. González-Quintero, VH; Cruz-Pachano, FE (Winter 2009). "Preventing adhesions in obstetric and gynecologic surgical procedures". Reviews in Obstetrics and Gynecology. 2 (1): 38–45. PMC 2672996. PMID 19399293.
  4. Chan, KL; Marino, T; Qu, WM; Tulandi, T (Winter 1995). "Effects of intraperitoneal Ringer's lactate instillation and infusion on postsurgical adhesion formation". Journal of Gynecologic Surgery. 11 (4): 241–3. doi:10.1089/gyn.1995.11.241. PMID 10163503.
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