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SEPRAFILM® and Ostomy Creation and Closure

Incidence of incision extension

Midline and peristomal adhesions can complicate reversal of a colostomy or ileostomy. Additionally, bowel adhesions to the peristomal site following closure can cause adhesive small bowel obstruction. In a series of randomized controlled studies of patients receiving SEPRAFILM at primary radical colorectal resection, SEPRAFILM reduced midline and peristomal adhesions, reducing overall complexity including:

  • Extension of peristomal incision1
  • Operation time and blood loss1
  • Inadvertent enterotomies and resulting bowel resection2

SEPRAFILM is shown to reduce severity and extent of adhesions to the peristomal incision and the need to extend the incision at ileostomy closure.1

Click here for relevant clinical studies.

colostomy takedown
Seprafilm wrapping: protecting an ileostomy from adhesions

SEPRAFILM application sites in ostomy creation3:

  • Ostomy site
  • Rectal stump
  • Omentum
  • Midline incision
  • Paracolic sidewall
  • Traumatized bowel
1. Kusunoki M, Ikeuchi H, Yanagi H, et al. Bioresorbable hyaluronate-carboxymethylcellulose membrane (Seprafilm) in surgery for rectal carcinoma: a prospective randomized clinical trial. Surg Today. 2005;35:940-945.
 
1. Kusunoki M, Ikeuchi H, Yanagi H, et al. Bioresorbable hyaluronate-carboxymethylcellulose membrane (Seprafilm) in surgery for rectal carcinoma: a prospective randomized clinical trial. Surg Today. 2005;35:940-945.
 
1. Kusunoki M, Ikeuchi H, Yanagi H, et al. Bioresorbable hyaluronate-carboxymethylcellulose membrane (Seprafilm) in surgery for rectal carcinoma: a prospective randomized clinical trial. Surg Today. 2005;35:940-945.
 
2. Tang C-L, Seow-Choen F, Fook-Chong S, Eu K-W. Bioresorbable adhesion barrier facilitates early closure of the defunctioning ileostomy after rectal excision. Dis Colon Rectum. 2003;46:1200-1207.
 
3. SEPRAFILM Prescribing Information. Cambridge, MA: Genzyme Biosurgery; 2007
 

 

SEPRAFILM Application in Abdominal and Colorectal Procedures

Physician Testimonials

 

Indication

Seprafilm® Adhesion Barrier is indicated for the reduction of post-surgical adhesions in patients undergoing abdominal or pelvic laparotomy.

Important Safety Information

Seprafilm should not be wrapped around an intestinal anastomosis as such usage may result in increased anastomotic leak related events, such as abscess or peritonitis. The safety and effectiveness of Seprafilm has not been established in combination with other adhesion prevention products and/or in surgical procedures not within the abdominopelvic cavity. The safety and effectiveness of Seprafilm has also not been evaluated in cases of pregnancy, malignancy, or frank infection. The type and frequency of adverse events reported are consistent with events typically seen following abdominopelvic surgery when used as directed.

Please see full prescribing information.

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