Severe adhesions and advanced laparoscopic surgery
A 43 year old, status post hysterectomy, was referred for the management of ovarian retention syndrome. Extensive adhesiolysis was performed and ovaries removed. Bladder cystoscopy with hydrodistension test revealed symptoms of early interstitial cystitis. Estimated blood loss was 800 and operative time 5 hours 23 minutes. The case demonstrates the potential of minimal invasive surgery in a case of severe adhesions that looked initially impossible.