[The Fitz-Hugh-Curtis syndrome in laparoscopic surgery].
The Fitz-Hugh-Curtis syndrome was diagnosed intraoperatory at 7.1% of the laparoscopic cholecystectomies in our clinic. The attitude in all cases was to perform a complete adhesiolysis. The reasons we consider that support this are: 1. the adhesions that fix the liver to the diaphragma do not allow the surgeon a comfortable access to perform cholecystectomy; 2. if these adhesions are torn accidentally during operation it could end up to the glissonian sheath rupture and uncontrollable bleeding; 3. adhesiolysis might be imposed in order to introduce the ports under visual control; 4. the traction determined by the perihepatitis process against the parietal peritoneum could be responsible for postoperative right quadrant pain; 5. the hepatodiaphragma adhesions make impossible the suction of the intraoperative secretions. A complete adhesiolysis allow a correct lavage of the suprahepatic area preventing the possible retention of clots, bile or even calculi. We didn't notice neither a longer duration of the intervention due to adesiolysis nor intra/or postoperative complications.
Palade
R
R
Vasile
D
D
Grigoriu
M
M
Voiculescu
D
D
D000368:Aged; D017081:Cholecystectomy, Laparoscopic; D002769:Cholelithiasis / Q000382:microbiology / Q000601:surgery*; D005260:Female; D006505:Hepatitis / Q000382:microbiology / Q000601:surgery*; D006801:Humans; D008219:Lymphogranuloma Venereum / Q000150:complications* / Q000382:microbiology; D008875:Middle Aged; D010532:Peritoneal Diseases / Q000382:microbiology / Q000601:surgery*; D012383:Romania; D013577:Syndrome; D000267:Tissue Adhesions / Q000175:diagnosis / Q000601:surgery