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A Technical Guide To Safe Laparoscopic Lysis Of Adhesions

Didactics And Hands-on Hints
View in high definition Video requirements
Mancini Gregory,
University Of Tennessee,
Knoxville

PERSONAL COMMENTS:
A TECHNICAL GUIDE TO SAFE LAPAROSCOPIC LYSIS OF ADHESIONS

GJ Mancini, MD; J Benson, BS; Klaus Thaler, MD
The Department sof Surgery at the University of Tennessee, Knoxville, Tennessee and the University of Missouri, Columbia, Missouri, U.S.A

ABSTRACT:
Aims:
Laparoscopic lysis of adhesions is increasingly associated with routine laparoscopic procedures. Adhesiolysis potentially adds to patient morbidity if not performed safely. Bleeding and bowel injury are important complications related to laparoscopic lysis of adhesions. This video demonstrates blunt dissection, sharp dissection, and energy source dissection techniques for safe laparoscopic adhesiolysis.
Methods:
Intra-operative video compilation (7.23 minutes) in MPEG1 Format
Discussion: Laparoscopic lysis of adhesions can be complex and add morbidity to routine laparoscopic procedures. When using blunt dissection technique, limit distracting forces on adjacent sensitive structures. If energy sources are to be used, care must be taken to avoid its use near sensitive structures. Sharp dissection is safest when dividing adhesions between delicate structures.
PEG tube fixation of sigmoid volvulus
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