Adhesions are scars that form within the body. They usually form in the abdomen or pelvis. They can also form in joints or eyes. Adhesions develop naturally after surgery as part of the healing process. They can also develop after infection or any other inflammatory process, such as:
Lysis of adhesions is the process of cutting scar tissue within the body. This is done to restore normal function and reduce pain.
Laparoscopic Cutting of Bowel Adhesions
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Adhesions can cause:
This surgery can fix intestinal blockage and treat infertility caused by adhesions. It also reduces chronic abdominal pain in some individuals.
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
Your doctor will perform a physical exam and may order some of these tests:
Leading up to the surgery:
General anesthesia —blocks pain and keeps you asleep through the surgery
This surgery is usually done laparoscopically.
In some cases, the doctor may need to switch to or do open abdominal surgery (called laparotomy ). A larger incision will be made in the abdomen. This will allow direct access to all of the organs. The adhesions will be cut out.
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
This surgery is done in a hospital setting. If you have laparoscopic surgery, you will be able to leave that day or the next. If you have open surgery, you will need to stay in the hospital for a few days. You may need to stay longer if you have complications.
During your stay, the hospital staff will take steps to reduce your chance of infection, such as:
There are also steps you can take to reduce your chance of infection, such as:
Some activities will be restricted until the wounds are fully healed. Be sure to follow your doctor's instructions.
It is important to monitor your recovery. Alert your doctor to any problems. If any of the following occur, call your doctor:
If you think you are having an emergency, call for emergency medical services right away.
American College of Surgeons
International Adhesions Society
Adhesion. Mount Sinai website. Available at: http://www.mountsinai.org/health-library/diseases-conditions/adhesion. Updated Apri 5, 2016. Accessed May 19, 2017.
Dunker MS, Bemelman WA, et al. Long-term outcomes and quality of life after laparoscopic adhesiolysis for chronic abdominal pain. J Am Assoc Gynecol Laparosc. 2004;11:36-41.
Lamvu G, Tu F, et al. The role of laparoscopy in the diagnosis and treatment of conditions associated with chronic pelvic pain. Obstet Gynecol Clin N Am. 2004;31:619-630.
Szomstein S, Lo Menzo E, et al. Laparoscopic lysis of adhesions. World J Surg. 2006;30(4):535-540.
Last reviewed May 2017 by Michael Woods, MD FAAP
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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