Release of adhesions Adhesiolysis
What is an Adhesion ?
Adhesion is actually the band of scar tissue that develops initially as the body’s natural repair mechanism. This is formed as a response to the disturbance of tissue from any of the following causes:
- Pathologies, like, Endometriosis
Adhesions occur in nearly 95% of the patients who underwent abdominal surgery, as it is part of the body’s healing process. Most adhesions are asymptomatic or not indicative by any symptoms, but some adhesions can cause
- Bowel obstructions
- Pain during intercourse
- Partial or complete loss of organ function or tissue death in severe cases
- Ovulatory disruptions
Types of Adhesions
The basic types of adhesions are:
- Pelvic Adhesions : can affect any of the organs within the pelvis, including the uterus, ovaries, fallopian tubes, bladder and they occur usually after a surgery. Fallopian adhesions can cause infertility and also increase the chance of ectopic pregnancy where the foetus develops outside the uterus. Some of the other diseases related to this are:
- Pelvic Inflammatory Disease: occurs from an infection leading to adhesions within the fallopian tubes.
- Endometriosis : is caused by pelvic adhesions where tissues that usually grow within the uterus are found in other parts of the body, like the bowel or fallopian tubes.
- Abdominal Adhesions : usually form within the first few days after surgery. It restricts movement of the small intestines. It also makes it difficult for food to pass through the digestive system.
- Heart Adhesions : are scar tissues that form within the pericardial sac or the membranes that surround the heart. This restricts the functioning of the heart. Rheumatic fever can lead to adhesions to form on the heart valves decreasing the heart’s efficiency.
Adhesions are diagnosed depending on their clinical symptoms. Some of the diagnostic tests include,
- X-Rays will help in revealing the small obstructions that are caused by adhesions.
- Examining inside the body can be done with various scopes like:
- MRI is also helpful in some cases
- Laparoscopy is the best option to explore and visualise for determining a definitive diagnosis.
It is a medical procedure that is performed to remove or divide the adhesions to restore normal anatomy and functioning of the organs. Adhesiolysisis a scar tissue removal procedure which can also help relieve painful symptoms.
The doctor usually opts for the laparoscopy surgical technique, which is also called Laparoscopic Adhesiolysis for adhesion treatment. It was first used for small-bowel obstruction. It offers the following:
- Less operative pain
- Decreased chances of a hernia
- Recovery time is reduced
- Shorter hospital stay
The doctor creates a couple of tiny incisions. A laparoscope is a thin, flexible cable with a camera is inserted through one of the incisions to view the presence of the adhesion. The adhesions are then cut and released using tiny surgical instruments and viewed through the video monitor.
Authored By Dr. Sunil Eshwar
Medical disclaimer: For information purposes only