对于粘连、肠粘连松解术成功实施腹腔镜松解术的技巧

                               
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We present a case of a 29 yo female who presented for a laparoscopic myomectomy. The patient had
an extensive surgical history including: exploratory laparotomy with small bowel resection, ileostomy with
reversal, colostomy, laparoscopic abdominal mesh placement for a ventral hernia, and laparoscopic
cholecystectomy. Once we successfully entered the abdomen, omental and bladder adhesions were along
the entire length of the abdomen. This video demonstrates how we safely approached laparoscopic entry
given hersignificant surgical history including intraoperative ultrasound and site marking. The video also
instructs on different techniques to utilize when approaching lysis of adhesions and enterolysis.

Laparoscopic adhesiolysis is a safe and effective management option for patients with prior abdominal surgery with chronic abdominal pain or recurrent bowel obstruction not attributed to other intraabdominal pathology.