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Fallopian Tubes
and Ovaries

Laparoscopy Technique

Diagnostic Uses
of Laparoscopy

of Tubal Patency
via Laparoscopy

Laparoscopic Resection
of Unruptured
Ectopic Pregnancy

Ovarian Biopsy
via Laparoscopy

Electrocoagulation of
Endometriosis via

Lysis or Adhesions
via Laparoscopy

Control of Hemorrhage
During Laparoscopy

Fallopian Tube

Sterilization by
Electrocoagulation and
Division via Laparoscopy

Silastic Band Sterilization
via Laparoscopy

Hulka Clip Sterilization
via Laparoscopy

Sterilization by the
Pomeroy Operation

Sterilization by the
Modified Irving Technique

Sterilization by the
Minilaparotomy Technique

Sterilization - Ucheda Technique




Tuboplasty -
and Anastomosis
of the Fallopian Tube

Wedge Resection
of the Ovary

Torsion of the Ovary

Ovarian Cystectomy

Lysis of Adhesions via Laparoscopy

The laparoscope can be used in the lysis of intraperitoneal adhesions. The technique consists of electrofulgurating the adhesion and cutting the adhesion with scissors in the area electrocoagulated.

The purpose of the operation is to lyse intraperitoneal adhesions, utilizing the advantages of the laparoscopic technique.

Physiologic Changes. The Fallopian tubes, colon, and intestine are freed and are thus able to resume their physiologic functions without entrapment.

Points of Caution. Precise surgical judgment is needed to lyse the adhesions via the laparoscopic technique without producing injury to the organ adjacent to the adhesion. Certain kinds of adhesions are more amenable to laparoscopic lysis than others. In general, "violin-string," thin, filmy adhesions are best suited for this technique, while thick, dense adhesions that can contain a portion of a viscus should not be treated by this method.


Lysis of adhesions is best accomplished by thoroughly electrocoagulating the adhesions.

After the adhesion has been electrocoagulated, it is cut with sharp laparoscopy dissecting scissors.

A broad-based adhesion can be lysed in several bites by electrocoagulation, followed by sharp incision in the electrocoagulated area, followed by repeat electrocoagulation and incision.


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