Feb 28, 2010 20:30
14 yrs ago
1 viewer *
German term
United States
Netzzelt
German to English
Medical
Medical (general)
laparoscopy
Einbringen der Veressnadel. Insufflation von 4 L CO2 in die Bauchhöhle. Einbringen des Sicherheitstrokars und der Optik. Die Spitze der Optik liegt unter einem **Netzzelt.** Das Netz scheint breit mit der Bauchwand im Bereich der Längslaparotomie verwachsen. Ein Schwenk durch den Oberbauch ist nicht möglich, man sieht lediglich das Quercolon mit dem zeltförmigen Netzansatz. Es gelingt, die Optik nach links an der Netzplatte vorbei zu schieben.
Many thanks in advance!
Many thanks in advance!
Proposed translations
(English)
| 4 +2 | greater omentum ... |
MMUlr
|
| 1 | jacket |
Zareh Darakjian Ph.D.
|
Proposed translations
+2
11 hrs
Selected
greater omentum ...
... is covering the optical tip (taking a "tent-like" shape)
Use of "tent-like" - however, with a slightly different context - included in this article:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1129081/pdf/1304...
HTH :-)
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Note added at 11 hrs (2010-03-01 07:49:06 GMT)
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see also (on post-surgical adhesions): http://www.springerlink.com/content/h52625p626451262/
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Note added at 1 day20 hrs (2010-03-02 17:13:35 GMT)
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So ... without being able to present any 100% proof for my opinion, IMO it is not very likely that any kind of mesh or Vicryl pad (Vicryl-Kissen) has been inserted in the area of the transverse colon. Most commonly, longitudinal laparotomy is performed for ovariectomy. Is this the case here, Trudy? - If this is really the case, that means, a status after a gynecological surgery, then the probability of any kind of "foreign" mesh material is almost equal to "0". But the description of a tent-like extension / adhesion of the omentum sounds really logical. Therefore the difficulties when advancing the tip of the laparoscope.
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Note added at 2 days8 hrs (2010-03-03 05:10:42 GMT)
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Thank you, Trudy, for the further explanation on patient history. Now I am really convinced that this is all about omental adhesions (in the area of the previous longitudinal laparotomy, thus taking the shape of a tent), and no mesh or anything "foreign" implanted anywhere in the abdomen.
Use of "tent-like" - however, with a slightly different context - included in this article:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1129081/pdf/1304...
HTH :-)
--------------------------------------------------
Note added at 11 hrs (2010-03-01 07:49:06 GMT)
--------------------------------------------------
see also (on post-surgical adhesions): http://www.springerlink.com/content/h52625p626451262/
--------------------------------------------------
Note added at 1 day20 hrs (2010-03-02 17:13:35 GMT)
--------------------------------------------------
So ... without being able to present any 100% proof for my opinion, IMO it is not very likely that any kind of mesh or Vicryl pad (Vicryl-Kissen) has been inserted in the area of the transverse colon. Most commonly, longitudinal laparotomy is performed for ovariectomy. Is this the case here, Trudy? - If this is really the case, that means, a status after a gynecological surgery, then the probability of any kind of "foreign" mesh material is almost equal to "0". But the description of a tent-like extension / adhesion of the omentum sounds really logical. Therefore the difficulties when advancing the tip of the laparoscope.
--------------------------------------------------
Note added at 2 days8 hrs (2010-03-03 05:10:42 GMT)
--------------------------------------------------
Thank you, Trudy, for the further explanation on patient history. Now I am really convinced that this is all about omental adhesions (in the area of the previous longitudinal laparotomy, thus taking the shape of a tent), and no mesh or anything "foreign" implanted anywhere in the abdomen.
Note from asker:
| Thanks for all the help so far. Can we be sure they're not talking about a Kunststoffnetz, as in Susanne's link? They don't say "Großnetz" anywhere in my text. Also, what would you do with "Netzplatte?" |
| Sorry to just now get back to you. I finished the rest of the docs before revisiting this. Here's an introductory paragraph I translated already: Desire to become pregnant, sec. sterility, status post 2 miscarriages, status post extrauterine gravidity right with longitudinal laparotomy, salpingectomy and partial ovariectomy right, massive adhesions, fundal myoma. Thanks again for this interesting (and frustrating) discussion :-) |
Peer comment(s):
| agree |
Susanne Schiewe
: hier ist eine schöne Abbildung "Großnetz" http://tinyurl.com/yfknm2q
3 hrs
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Danke Susanne. Ja genau, so sieht das aus (bei Adhäsiolyse) und es sind wirklich gute Bilder. Nur, dass es nicht Großnetz heißt ... ;-)
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| agree |
casper (X)
: a) http://shortify.com/9949: "The greater omentum, which connects the stomach to the transverse colon, also forms a canopy of sorts over the small intestine." b) http://shortify.com/9950
10 hrs
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Thank you, Jennifer. Nice links / descriptions. "Canopy" as term for the normal function of the omentum however, and -zelt (to me) is something that is disturbing the laparoscopy (normally the omentum is mobile ...).
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4 KudoZ points awarded for this answer.
Comment: "Thank you so much, everybody, for the time invested in this discussion! I ended up calling it a tent-like portion of the omentum.
Trudy"
14 mins
Zareh Darakjian Ph.D.
United States
United States
Native in English
Specializes in field
United States
A scientist, pianist and a translator
Native in: English 
, Armenian
Works in: German to English, French to English, Spanish to English, and 2 more.
Related KudoZ points
:
377
jacket
I wonder if this is in reference to the jacket in which the end of the scope is housed...
Peer comment(s):
| neutral |
MMUlr
: They describe the "greater omentum" (großes Netz): http://connect.in.com/omentum/photos-1-1-1-86e27894f670c2fe0... (but if jacket is correct? the gr. o. is forming a "tent" ...!?)
10 hrs
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Discussion
b) "Das Netz scheint breit mit der Bauchwand im Bereich der Längslaparotomie verwachsen", "man sieht lediglich das Quercolon mit dem zeltförmigen Netzansatz" and "...das Quercolon mit dem zeltförmigen Netzansatz": reading this gives me the impression that the 'Netz' and the 'Netzzelt' are not part of the laparoscope (as Zareh Darakjian has suggested in her answer), but possible refer to a mesh repair job inside the abdomen (of the transverse colon?) done in the past.