Using bipolar current, the adhesion band was cauterized and then cut with scissors.Įpinephrine solution (30 mL) in a dilution of 1 mg epinephrine in 100 mL saline was infiltrated subserosally along the medial aspect of both uterine horns. Superficial endometriotic deposits were seen in the pouch of Douglas, which were fulgrated with bipolar cautery. There were no adhesions in the ovarian fossa. The fallopian tubes and ovaries were normal. An adhesion band was seen extending from the bladder to the rectum, between the two uterine horns.
Two 5 mm trocars were placed in the right and left lower quadrants of the abdomen, medial to the inferior epigastric vessels, and a third 10 mm trocar was placed in the midline 15 cm above the pubic symphysis. KG) was inserted through this incision, and the abdominal cavity was inspected using a zero degree telescope. An 11 mm trocar with reduction to 10 HiCap (Karl Storz Gmbh & Co. The temperature of the CO 2 gas at abdominal entry was 35☌ at a preset pressure of 20 mm Hg using a special CO 2 insufflator (Thermoflator, Karl Storz Gmbh & Co. Pneumoperitoneum was created using prewarmed and humidified CO 2 at a rate of 4.5 L/min.
#MISSHAPEN UTERUS FULL SIZE#
Full size image The surgical procedure of laparoscopic Strassman’s metroplastyĪ 2.5-cm-long intraumbilical incision was taken, and a 20 cm Veress needle was inserted through it.
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