{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:31:51Z","timestamp":1786739511406,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Surgery in a frozen abdomen can be difficult and dangerous with a significant risk of visceral injuries. We report a case of a 26-year-old lady with chronic pelvic pain diagnosed to have large bilateral adnexal cysts on magnetic resonance imaging with normal tumor markers. She had previous two laparotomies for benign conditions. Laparoscopy was planned, but pneumoperitoneum could not be created due to dense intraperitoneal adhesions. Direct entry was done into the preperitoneal space followed by insufflation of gas in this space. Blunt and sharp dissection of this space was done without breaching the peritoneum to reach the adnexa. The adnexal cyst was found to be encysted collection due to adhesions from previous surgeries. Deroofing was done followed by the visualization of pelvic structures intraperitoneally. Extraperitoneal laparoscopy may be used as a safe alternative to laparotomy in patients with dense intra-abdominal adhesions with the advantage of faster postoperative recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/gmit.gmit_54_20","type":"journal-article","created":{"date-parts":[[2021,8,3]],"date-time":"2021-08-03T00:46:44Z","timestamp":1627951604000},"page":"181-183","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Extraperitoneal Laparoscopy in Severe Intra-abdominal Adhesions"],"prefix":"10.4103","volume":"10","author":[{"given":"Nilofar","family":"Noor","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anamika","family":"Das","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kallol Kumar","family":"Roy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juhi","family":"Bharti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinod G.","family":"Nair","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakhi","family":"Rai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-11-20240830","doi-asserted-by":"crossref","first-page":"846","DOI":"10.12998\/wjcc.v2.i12.846","article-title":"Large bowel injuries during gynecological laparoscopy","volume":"2","author":"Ulker","year":"2014","journal-title":"World J Clin Cases"},{"key":"R2-11-20240830","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1016\/S0015-0282(99)00555-5","article-title":"Role of microlaparoscopy in the diagnosis of peritoneal and visceral adhesions and in the prevention of bowel injury associated with blind trocar insertion","volume":"73","author":"Audebert","year":"2000","journal-title":"Fertil Steril"},{"key":"R3-11-20240830","doi-asserted-by":"crossref","first-page":"1334","DOI":"10.1093\/humrep\/17.5.1334","article-title":"Laparoscopic surgery is not inherently dangerous for patients presenting with benign gynaecologic pathology. Results of a meta-analysis","volume":"17","author":"Chapron","year":"2002","journal-title":"Hum Reprod"},{"key":"R4-11-20240830","doi-asserted-by":"crossref","first-page":"4","DOI":"10.4103\/0974-1216.51902","article-title":"Entry complications in laparoscopic surgery","volume":"1","author":"Krishnakumar","year":"2009","journal-title":"J Gynecol Endosc Surg"},{"key":"R6-11-20240830","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1016\/S0029-7844(96)00390-0","article-title":"A nationwide analysis of laparoscopic complications","volume":"89","author":"H\u00e4rkki-Sir\u00e9n","year":"1997","journal-title":"Obstet Gynecol"},{"key":"R9-11-20240830","doi-asserted-by":"crossref","first-page":"849","DOI":"10.1016\/S0090-4295(97)00485-8","article-title":"Initial experience with extraperitoneal endoscopic radical retropubic prostatectomy","volume":"50","author":"Raboy","year":"1997","journal-title":"Urology"},{"key":"R10-11-20240830","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1634\/theoncologist.11-8-895","article-title":"Role of minimally invasive surgery in gynecologic cancers","volume":"11","author":"Schlaerth","year":"2006","journal-title":"Oncologist"}],"container-title":["Gynecology and Minimally Invasive Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/GMIT.GMIT_54_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:29:34Z","timestamp":1786735774000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/GMIT.GMIT_54_20"}},"subtitle":["A Safe Alternative to Laparotomy"],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":7,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/gmit.gmit_54_20","relation":{},"ISSN":["2213-3070"],"issn-type":[{"value":"2213-3070","type":"print"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}