| October 2008 · Vol. 20, No. 10 SURGICAL TECHNIQUES: Part 2
Challenges in total laparoscopic hysterectomy: Severe adhesions
Success is likely if you are 1) proactive and 2) meticulous about abdominal entry, and if you manage adhesions strategically. Two experts offer tips and techniques.
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Fast Track
Ultrasonic energy involves minimal thermal spread, minimal carbon particle formation, and a cavitation effect similar to what occurs with hydrodissection
In more than 80% of patients who are injured during major abdominal surgery, the injury is associated with omental adhesions to the previous abdominal incision
If the visceral peritoneum or bowel is breached during adhesiolysis, and mucosa is exposed, surgical repair is necessary
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Carl
F.
Giesler,
MDDr. Giesler is Associate Professor and Director of Minimally Invasive Surgery, Department of Obstetrics and Gynecology, at Baylor College of Medicine in Houston. Anuja
Vyas,
MDDr. Vyas is Instructor of Obstetrics and Gynecology at Baylor College of Medicine in Houston.
Dr. Giesler reports that he serves on the speaker’s bureau for Ethicon Endo-Surgery. Dr. Vyas has no financial relationships relevant to this article.
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