c l i n i c a l f o l i o s : n a r r a t i v e





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Laparoscopic Lysis of Adhesions (Pain): 1

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A 35-year-old woman experienced right-sided abdominal pains since her laparoscopic (converted to open) cholecystectomy five years previously. She had also had a subsequent bladder suspension through a Pfannensteil incision. Extensive workup including CT scans, colonoscopy and evaluation for endometriosis detected no cause for the pain. She was taken to the operating room for exploratory laparoscopy and lysis of adhesions. A Hasson cannula was placed at the umbilicus and initial view showed a veil of omentum with open space below.   

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Laparoscopic Lysis of Adhesions (Pain): 2

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A 30-degree scope was advanced under direct vision through the thin portion of omentum.     

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Laparoscopic Lysis of Adhesions (Pain): 3

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The omentum is seen plastered to the anterior abdominal wall, suspending the transverse colon.     

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This page was last modified on 10/12/2004.