van Lith D A, van Schie K J, Beekhuizen W
J Reprod Med. 1979 Aug;23(2):87-90.
Suspected bowel adhesions are often considered a relative contraindication to laparoscopy. To attempt preoperative diagnoses of intraabdominal adhesions, miniculdoscopy was performed on ten patients with a miniendoscope. It was possible to establish the presence or absence of adhesions and to determine a safe abdominal trocar insertion site. The laparoscope trocar could be inserted under direct controlled vision with the culdoscope in nine cases, suggesting that this procedure averts bowel adhesions. This technique may be a contribution to safer laparoscopy.
疑似肠粘连通常被视为腹腔镜检查的相对禁忌证。为尝试对腹腔内粘连进行术前诊断，使用微型内窥镜对10例患者进行了迷你阴道镜检查。能够确定粘连的有无，并确定安全的腹部套管针插入部位。在9例患者中，可在阴道镜直视控制下插入腹腔镜套管针，这表明该操作可避免肠粘连。这项技术可能有助于更安全地进行腹腔镜检查。
