Adhesion formation after endoscopic posterior colpotomy.
Twenty-two women who had undergone laparoscopic posterior colpotomy at initial operative laparoscopy and later underwent a second laparoscopic procedure were evaluated for adhesion formation. Fifteen women (68%) had myomata removed, 3 (14%) had a dermoid cystectomy, 1 (5%) had a serous cystadenoma removed, and 3 (14%) who had large endometriomata and severe adhesions underwent salpingo-oophorectomy. Although filmy adhesions were noted in nine women, no adhesions were noted in the cul-de-sac. Based on our limited results, it does not appear that tissue removal via laparoscopic colpotomy predisposes reproductive-age women to postoperative adnexal adhesion formation.
Nezhat
F
F
Center for Special Pelvic Surgery, Atlanta, Georgia.
Brill
A I
AI
Nezhat
C H
CH
Nezhat
C
C
D000291:Adnexal Diseases / Q000209:etiology*; D000328:Adult; D003127:Colposcopy; D005260:Female; D006801:Humans; D011183:Postoperative Complications; D012086:Reoperation; D000267:Tissue Adhesions / Q000209:etiology; D014623:Vaginal Diseases / Q000601:surgery*