Patient IV

 

Midline bowel to abdominal wall adhesions 

Midline adhesions of the small bowel to the anterior abdominal wall Another view of the adhesions and the bowel loops and the abdominal wall
During the adhesiolysis, please notice how near to the bowel serosa we need to cut, and even then there's no lesion with our special equipment After the adhesiolysis SprayGel™ has to be applied on the abdominal wall and …
… on the bowel surface at the wounded area The abdominal wall at the second-look laparoscopy, only scar tissue and no adhesions
Second-look: the bowel area which already has healed-up completely, the new vessels (Neoangiogenesis) in the wounded area helped the healing process with a better blood and oxygen supply
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