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Severe Adhesions Can Be Managed Laparoscopically



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By Dr. Mohammad Walid , Dr. Richard Heaton
Corresponding Author Dr. Mohammad Walid
Heart of Georgia Women's Center, - United States of America
Submitting Author Mr. Mohammad S Walid

Published on: 05-May-2012 01:50:45 PM GMT    Views: 1248

Category: LAPAROSCOPY, OBSTETRICS AND GYNAECOLOGY

Legend:

A 43 year old, gravid 4, para 3, 127 lb, 5 ft 1”, status post hysterectomy, was referred to us for management of a cyst on both of her ovaries. During laparoscopic intervention the patient was found to have severe abdominal and pelvic adhesions. Extensive adhesiolysis was performed and ovaries removed. Cystoscopy with indigo carmin injection proved ureteral integrity. Bladder hydrodistension test revealed a bladder capacity of 950 cc under 70 cm of water pressure and glomerulations in all four quadrants consistent with early interstitial cystitis. Estimated blood loss was 800 and operative time was 5 hours 23 minutes. The case demonstrates how a case that looks initially impossible is usually far from it.

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