Transvaginal Adhesiolysis Using Laparoscopic Instruments

Qiuqi Angela Shan, MD, Jon K. Hathaway, MD, PhD

Department of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, Indiana (both authors).

ABSTRACT

Intra-abdominal adhesions are a common complication of abdominal surgery and can lead to further complications including bowel obstruction, infertility, and pain. We describe a novel technique of performing transvaginal laparoscopic lysis of adhesions following a total vaginal hysterectomy in a 41-year-old woman with periumbilical pain and menorrhagia. This natural orifice transluminal endoscopic surgical procedure was tolerated well, did not add considerable overall operating time, and did not require extensive additional training. The patient reported no periumbilical pain at 1 year.

Key Words: Surgery-induced tissue adhesions, Laparoscopic surgery, Natural orifice transluminal endoscopic surgery, Hysterectomy, Vaginal

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