DOI QR코드

DOI QR Code

Retro-umbilical adhesiolysis: a novel approach for a misnomered lesion

  • Atef Darwish (Department of Obstetrics and Gynecology, Woman's Health University Hospital, Assiut University Faculty of Medicine) ;
  • Dina Darwish (Department of Obstetrics and Gynecology, Woman's Health University Hospital, Assiut University Faculty of Medicine)
  • 투고 : 2024.05.29
  • 심사 : 2024.08.22
  • 발행 : 2024.09.30

초록

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.

키워드

참고문헌

  1. Sepilian V, Ku L, Wong H, Liu CY, Phelps JY. Prevalence of infraumbilical adhesions in women with previous laparoscopy. JSLS 2007;11:41-4.
  2. Darwish AMM, Darwish DAM. Letter to the editor: the Darwish point: an alternative nonumbilical primary laparoscopic entry site. J Gynecol Surg 2023;39:104-5.
  3. Darwish A, Darwish DAM, Fathi M, Elmahdi H. Comprehensive management of umbilical endometriosis using a unique laparoscopic entry portal (Darwish point) and postoperative dienogest. J Endometr Pelvic Pain Disord 2024;16:61-5.
  4. Darwish AMM, Darwish DAM, Dervis V, Nohman R. Facilitating combined upper and lower abdominal laparoscopic surgeries. J Med Life Sci 2023;20:139-40.