Reversal after Hartmann’s procedures is technically challenging and followed by high morbidity rate. One the main risk factors of complications need to dissect peritoneal adhesions for optimal access large bowel, which leads bowel deserosing, intestine lumen opening late perforation. Meanwhile, question remains unresolved: there a total adhesiolysis during operations end colostomy takedown, or ...

Tubo-ovarian abscess is a rare but potentially serious event that can occur after uterine artery embolization (UAE). We describe herein two cases of severe inflammatory tubo-ovarian abscesses. Two women presented with severe abdominal pain, cramping, and fever several months after UAE. Abdominal computed tomography demonstrated an enlarged tubo-ovarian mass, suggestive of an abscess. Percutaneo...

BACKGROUND Cervical disc disease is a common and occasionally disabling condition, occurring as a natural consequence of aging in the vast majority of the adult population. Percutaneous epidural neuroplasty (PEN) has been used to deliver highly concentrated drugs for chronic neck pain and to prevent scarring in cases refractory to conventional epidural blocks. However, the clinical course after...

OBJECTIVE To assess the incidence and type of laparoscopic complications. METHODS A series of 2140 operative laparoscopies were reviewed in a retrospective study of patient records. The setting was a tertiary-care university hospital. Operative laparoscopy included minor procedures (minimal adhesiolysis, destruction of minimal endometriosis foci, ovarian biopsy, ovarian puncture, tubal steril...

Intra-abdominal adhesions are almost inevitable after major abdominal surgery. Postoperative adhesions continue to be the major cause of small bowel obstruction and infertility. Peritoneal lesions caused by abrasion, ischemia, desiccation, infection, thermal injury and foreign bodies are the origin of adhesions. Fibrinous adhesions that develop within a few hours of operational trauma. This fib...

OBJECTIVES We evaluated the use of a hyaluronic acid-carboxycellulose membrane (HAC) slurry in complex laparoscopies. MATERIALS AND METHODS A gel-like mixture of HAC was prepared and applied in 171 consecutive complex laparoscopies on a gynecologic oncology service. The HAC slurry was used to coat deperitonealized surfaces and surgical pedicals to prevent postoperative adhesions. The techniqu...