ADHESION FORMATION AFTER ENDOSCOPIC POSTERIOR COLPOTOMY

Twenty-two women who had undergone laparoscopic posterior colpotomy at initial operative laparoscopy and later underwent a second laparoscop ic 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 a nd severe adhesions underwent salpingo-oophorectomy. Although filmy ad hesions were noted in nine women, no adhesions were noted in the cul-d e-sac. Based on our limited results, it does not appear that tissue re moval via laparoscopic colpotomy predisposes reproductive-age women to postoperative adnexal adhesion formation.