[Development of the postoperative adhesions in the small pelvic cavity]

The aim of the study was to determine the frequency and localization of the development of postoperative adhesions for different types of surgical interventions. For this purpose, 94 patients aged 16 to 47, admitted to the department of surgery of I. Zhordania Institute of Human Reproduction in 1998-2003, who underwent diagnostic and/or operative laparoscopy and had past history of laparotomic operations (one or several) have been studied. The study revealed that development of postoperative adhesions development in the small pelvic cavity takes place in 92,55%. The III- IV degree adhesions are the most frequently developed conditions (85,72%) as a result of both gynecological and non-gynecological surgeries. Postoperative adhesions developed as result of the gynecological surgeries ranked the second (69,23%).