STEP 1 : BOWEL AND OMENTAL ADHESIOLYSIS скачать в хорошем качестве

STEP 1 : BOWEL AND OMENTAL ADHESIOLYSIS

A surgical lysis separating the bowel and omental adhesions to the pelvic walls. These adhesions can be congenital and also be a result of inflammation resulting in the fibrous bands . In our gynaecology , we often encounter these adhesions alongwith sigmoid colon and omentum as a result of previous surgeries, pelvic inflammatory disease , endometriosis resulting in unnecessary risk to bowel injury while performing the pelvic surgeries. Plain scissors and ultrasonic energy source are my preferred choice for perfoming the adhesiolysis as they have nil and the least lateral spread respectively .