Adhesion formation after endoscopic posterior colpotomy
Nezhat, F.; Brill, A.I.; Nezhat, C.H.; Nezhat, C.
Journal of Reproductive Medicine 38(7): 534-536
1993
ISSN/ISBN: 0024-7758 PMID: 8410848 Document Number: 416630
Twenty-two women who had undergone laparoscopic posterior colpotomy at initial operative laparoscopy and later underwent a second laparoscopic procedure were evaluated for adhesion formation. Fifteen women (68%) had myomata removed, 3 (14%) had a dermoid cystectomy, 1 (5%) had a serous cystadenoma removed, and 3 (14%) who had large endometriomata and severe adhesions underwent salpingo-oophorectomy. Although filmy adhesions were noted in nine women, no adhesions were noted in the cul-de-sac. Based on our limited results, it does not appear that tissue removal via laparoscopic colpotomy predisposes reproductive-age women to postoperative adnexal adhesion formation.