Posted Thursday, August 17, 2006 @ 04:45 AM 
Laparoscopy can have some potential problems, if performed by self-proclaimed specialists with only few adhesioloysis surgeries a year.
A lady with Status after multiple laparotomies and multiple laparoscopic adhesiolysis surgeries, underwent a laparoscopic adhesion surgery by an experienced surgeon just few months before her surgery at EndoGyn.
Just after these intervention with that surgeon, she got extreme pain in the middle abdomen and back pain.
We found this:
In the middle of the abdomen under the navel there was a hard "tumor" with many dense adhesions surrounding and pulling organs to the middle of the abdomen (just like her pain was localised).
Wondering what it could be, we dissected those "tumor" from the abdominal wall:
and than from the omentum:
With a grasper we were holding something very hard. Obviously it was not tissue, not a granuloma, not a cancer and not an infection...
We decided to cut with a scissors into this structure; it showed strange material...
after extracting this material out of the abdominal cavity, the structure showed "plastic material" like a bag from an adhesion barrier, that was left behind or the adhesion barrier itself ?
After removing all the adhesions associated with the foreign body, SprayGel was applied to the abdominal wall.
No adhesions were found in the second look and she is pain free since her surgery, that was early 2004...
--------------------
Daniel Kruschinski, MD
www.endogyn.com
© by EndoGyn Ltd.
