title: Single-port laparoscopic adhesiolysis for torsion ileus.
abstract: Single-incisional laparoscopic surgery (SILS) has emerged as an attempt to further enhance the cosmetic benefits and reduce the morbidity of minimally invasive surgery. We present an approach of SILS adhesiolysis to adhesive strangulated ileus. A 70-year-old female patient, who had undergone laparoscopic low anterior resection 6 years before, underwent SILS adhesiolysis to a midline surgical incision wound adhesion site. The surgery was performed with only a 2.5-cm left-side transrectus incision using the SILS port. Laparoscopy revealed intestinal torsion and congestion with adhesion of the ileum to the previous surgical incision wound. SILS adhesiolysis was successfully carried out. The patient was discharged 4 days after surgery. SILS adhesiolysis is a feasible and efficient procedure in certain cases.
authors.affiliation: Department of Surgery, Tsuru Municipal Hospital, Tsuru-city, Japan. hirotaka@yamanashi.ac.jp
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Okamoto
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Wakana
authors.forename: Kenji
authors.initials: K
authors.lastname: Kawashima
authors.forename: Toshio
authors.initials: T
authors.lastname: Fukasawa
authors.forename: Hideki
authors.initials: H
authors.lastname: Fujii
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000601:surgery*; D045823:Ileus / Q000601:surgery*; D045822:Intestinal Volvulus / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D011183:Postoperative Complications / Q000601:surgery*; D024162:Second-Look Surgery / Q000379:methods; D000267:Tissue Adhesions / Q000601:surgery