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: Intraoperative video compilation 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.

routine cases

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