5) hysteroscopic adhesiolysis
achieved successful anatomical restoration in 57.
7 Shears for precision and multi-functionality in dissection, mobilization and adhesiolysis
, lymphadenectomy and vessel sealing.
12] In our case hysteroscopic removal of the bony spicules and laparoscopy with adhesiolysis
were successfully performed.
was done and the bladder was mobilized.
Diagnostically, we employ the use of minilaparoscopic instrumentation in conjunction with hysteroscopic metroplast adhesiolysis
, or tubal cannulation.
Intraoperatively, an extensive adhesiolysis
They suggested that surgery should be adapted to the structure of endometrioma by adhesiolysis
with opening and eversion of the cyst and followed by ablation of the superficial endometriotic tissue lining the cortex and excision of the implants at site of the adherent parametrium or ligaments.
Right hemicolectomy (27), left hemicolectomy (6), transverse colectomy (2), sigmoid resection (10), ileocolectomy (1), total colectomy (1), high anterior resection (8), low anterior resection (1), abdominoperitoneal resection (1), small bowel resection with adhesiolysis
(5), small bowel resection with ischaemia (1), segmental gastrectomy (1), distal gastrectomy (3), total gastrectomy (2), radical subtotal gastrectomy (1) radical total gastrectomy (0), distal pancreatectomy (1), Whipple's operation (11), 2 stage oesophagectomy (Ivor-Lewis) (10), 3 stage oesophagectomy (McKewon) (3).
led to the rupture of the abscess and discharge of clear greenish pus, a sample of which was sent to the laboratory for culture.
Four patients had complications from concomitant surgeries, including one vaginal cuff dehiscence, one postoperative bladder obstruction due to a blood clot from a suprapubic catheter, one cystotomy and repair with extensive adhesiolysis
, and one vaginotomy and repair with extensive endometriosis excision and cul-de-sac obliteration.
10,11) It has been shown to be a valuable tool for numerous laparoscopic and open surgical procedures, including cholecystectomy, Nissen fundoplication, bowel resection, and adhesiolysis
FOR women wishing to conceive, surgical treatment, - usually laparoscopic - includes diathermy or laser vaporisation of the endometriosis deposits, and adhesiolysis
(removal of adhesions).