J Med Life Sci.
2024 Sep;21(3):102-105. 10.22730/jmls.2024.21.3.102.
Retro-umbilical adhesiolysis: a novel approach for a misnomered lesion
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- 1Department of Obstetrics and Gynecology, Woman’s Health University Hospital, Assiut University Faculty of Medicine, Assiut, Egypt
- KMID: 2561962
- DOI: http://doi.org/10.22730/jmls.2024.21.3.102
Abstract
- Omental adhesions to the anterior abdominal wall are a common complication of abdominal surgery. Specific adhesions to the back of the umbilicus represent a challenge for safe laparoscopic access. In this case report, we describe a simplified two-port laparoscopic access procedure for retro-umbilical adhesiolysis. We concluded that successful adhesiolysis of retro-umbilical adhesions using the sequential Darwish and Lee-Haung points is feasible, and this procedure is a safe, minimally invasive alternative to the primary laparoscopic approach.
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