Thoracic Outlet Syndrome Thoracic Outlet Syndrome/Brachial Plexopathy. In Memory Of DeAnne Marie.


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Old 02-10-2014, 01:19 PM #1
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Default Dr. Sanders' adhesion barrier

I was just wondering about this quote:

"Between in 2002 and 2004, we used a material like Saran wrap to cover the nerves to the arm to reduce scar tissue adhering to the nerves after surgery in 250 operations. This material was totally absorbed in the body in 4 weeks, so there was no foreign body remaining. When we analyzed the results with this material, we found that although it did reduce the amount of scar tissue making reoperations for recurrence easier, it did not significantly reduce the incidence of recurrent symptoms. Therefore, beginning in 2005, we changed the material to a similar one that now stays in the body for several months rather than just 4 weeks. By 2008, this newer material had been used in over 200 patients and to date the number of failures has been cut in half."

from: http://www.ecentral.com/members/rsanders/

Apparently in the earlier surgeries he used Seprafilm, based on this: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2527223/

However I can't find what he switched to. Does anyone know?
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Old 02-10-2014, 03:15 PM #2
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Maybe one of these?

[A number of adhesion barriers are available outside of the United States including Hyalobarrier,[6] SprayShield,[7] PrevAdh[8] and INTERCOAT.[9] Several products licensed for other uses are used off-label in the USA for adhesion prevention including Evicel, Surgiwrap, CoSeal and Preclude, the latter being a product of Gore-Tex, not being absorbed and requiring a second intervention/operation for removal.

Products available for adhesion prevention outside the abdominal and pelvic cavities inside or outside the USA include ADCON Gel[10] (spine and tendon surgery), Sepragel ENT, INCERT[11] (spine), Tenoglide (tendon), Oxiplex[12] (Medishield) (spine) and REPEL CV (Cardiac).]
http://en.wikipedia.org/wiki/Adhesion_barrier
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Old 02-22-2014, 05:40 PM #3
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OK, I guess the answer must be Surgiwrap.

It was mentioned in this thread:
http://neurotalk.psychcentral.com/thread167629.html

And then I noticed in the 2nd (earlier) article I cited above Dr. Sanders wrote, "Currently, in place of Seprafilm®, we are trying another material, Surgiwrap®, which is absorbed over several months, providing a significantly longer barrier. As yet we do not know how well it will perform compared to Seprafilm®."

So that must be it.

btw if you type "Surgiwrap" into google it suggests "Surgiwrap complications"...

Last edited by freetofu; 02-22-2014 at 06:03 PM.
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Old 02-23-2014, 02:52 AM #4
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Past surgery in the late 1990's the use of Adcon-L was used by doctors for spinal surgery and then introduced for TOS. This was used and the gortex in my dd surgeries. However even with gortex the adhesions, scar matter grew and clung to nearby structures twisting around anything nearby.

I need to read how things are helping long term now.
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Old 02-24-2014, 06:48 AM #5
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I don't know, but I'm sure I have it. Sanders doesn't do surgery anymore. It is Annest that does, but Sanders is in the surgery room assisting. You could call them and ask.
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