She was referred to a surgical procedure of L2-L3 left partial interhemilaminectomy, wide arthrectomy, L2-L3 microdiscectomy and interspinous arthrodesis (realized with Aspen, Lanx, Inc., Broomfield, CO, USA), and L2 and L3 nerve roots adhesiolysis
. Bony removal was intentionally generous because the sequestration was voluminous and the risk of performing incidental tractions or surgical traumas on nerve roots was high; furthermore, left L3 nerve root foraminotomy and adhesiolysis
were difficult to perform with a standard approach for a simple L2-L3 discectomy (Figure 2).
They recommended that adhesiolysis
of the arachnoid be performed to release the SK after laminectomy and OLF resection.
The inside of the abdomen was inspected, the contents of the sac were reduced and adhesiolysis
was done, with scissors or harmonic scalpel taking care of the bowel.
Besides hysteroscopic myomectomy, the Truclear System is appropriate for visual dilatation and curettage (D&C), adhesiolysis
, polypectomy, and evacuation of retained products of conception.
Diagnostically, we employ the use of minilaparoscopic instrumentation in conjunction with hysteroscopic metroplast adhesiolysis
, or tubal cannulation.
Hysteroscopy was done prior to IVF cycle which revealed a band of adhesion running from anterior to posterior wall for which adhesiolysis
was done in the same session.
The liver with gallbladder was replaced in the abdominal cavity, after adhesiolysis
of the lung from pleura and diaphragm, whereupon the diaphragm was closed tensionless by running technique with non-absorbable sutures.
An accessory 5 mm trocar was placed as needed for catheter manipulation and to perform adhesiolysis
or division of the omentum.
Both of them together have made it possible for the tubal, ovarian, uterine and pelvic pathologies to be diagnosed and enabled some therapeutic procedures like adhesiolysis
, myomectomy, polypectomy, etc., to be undertaken in the same sitting.
The operation was started robotically but was soon converted to an open laparotomy incision due to the complex pelvic anatomy and need for further adhesiolysis
(see Figure 1(d)).
Surgery took 3.5 hours due to extensive adhesiolysis
Multiple lesions resembling a tuberculoma were present in the mesentery of small bowel and multiple adhesions were identified for which adhesiolysis