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





A D V E R T I S E M E N T

 

Laparoscopic Lysis of Adhesions (Recurrent Obstruction): 1

A D V E R T I S E M E N T

   
 

A 62-year-old woman with prior colon surgery had a history of multiple episodes of partial intestinal obstructions. She was taken to the operating room for laparoscopic exploration and lysis of adhesions. The first (camera) trochar was placed at the umbilicus using open Hasson technique. Initial exploration showed a large, thick band extending from small bowel to upper midline. Note the small bowel loop adherent to the left upper quadrant abdominal wall.      

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Laparoscopic Lysis of Adhesions (Recurrent Obstruction): 2

A D V E R T I S E M E N T

   

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The adhesive band is shown.     

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Laparoscopic Lysis of Adhesions (Recurrent Obstruction): 3

A D V E R T I S E M E N T

   
 

A second port was placed in the left upper quadrant under direct vision.       

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This page was last modified on 3/4/2003.