Grimes E M
Obstet Gynecol. 1981 Mar;57(3):375-8.
Forty women who had undergone previous abdominal surgical procedures were evaluated by open laparoscopy with a simple technique that required no special instrumentation. Gynecologic problems included infertility, suspected endometriosis and/or pelvic adhesions, ovarian cysts, and second-look laparoscopy after treatment for ovarian cancer. The technique was evaluated in regard to ease of performance in patients with various abdominal incisions. Conventional instrumentation was used. No significant side effects were experienced and anesthesia time was prolonged by no more than 10 to 20 minutes in most cases. Significant subincisional adhesions were found in 35% of patients. It is suggested that open laparoscopy in patients who have had previous abdominal surgery deserves reevaluation.
四十名曾接受过腹部外科手术的女性接受了开放式腹腔镜检查，该检查采用一种简单技术，无需特殊器械。妇科问题包括不孕、疑似子宫内膜异位症和/或盆腔粘连、卵巢囊肿以及卵巢癌治疗后的二次腹腔镜检查。对该技术在不同腹部切口患者中的操作简便性进行了评估。使用了传统器械。未出现明显副作用，且在大多数情况下麻醉时间延长不超过10至20分钟。35%的患者发现有明显的切口下粘连。建议对曾接受过腹部手术的患者进行开放式腹腔镜检查值得重新评估。
