Adhesiolysis, as the name means, is the “lysis of adhesions”. It is a surgical mode of treatment that breaks up and eliminates scar tissue (or adhesions). If left as it is, this scar tissue results in pain, inflammation and even obstruction to normal function.
What are adhesions and how do they result ?
Adhesions are basically scar tissue that forms in between our body’s organs, either in the abdomen or along the spine. Adhesions form after some inflammatory process, such as post-abdominal surgeries or intra-abdominal infections (like pelvic inflammatory disease). A majority of patients who undergo open abdominal surgery develop adhesions post surgery; they occur almost unavoidably as part of the body’s usual healing process.
What are the symptoms caused by adhesions ?
Even though most of the adhesions are free from symptoms, there are some that can obstruct bowels, cause infertility and chronic abdominal or back pain. Post-operative adhesions are a major cause for small-bowel obstruction (or SBO).
What are the types of adhesiolysis procedure ?
- Open adhesiolysis procedure : Laparotomy (surgical procedure placing a clear incision in the abdominal wall to open the abdominal cavity) with open adhesiolysis is the preferred treatment option for acute complete bowel obstructions. It is used even in partial bowel obstructions, if non-surgical measures fail. Conversely, this operation itself may result in new intra-abdominal adhesions, which will again require surgery for recurrent bowel obstruction sooner or later.
- Laparoscopic adhesiolysis procedure : Advanced technology nowadays with high-definition imaging, more accurate smaller cameras, and enhanced instrumentation have allowed for adhesiolysis to be performed laparoscopically with improved outcomes.
Comparing Laparoscopic Adhesiolysis with the open approach to adhesiolysis, the laparoscopic technique has the following benefits.
- Less pain after the surgery
- Decreased trauma to the abdomen, hence lower incidence of ventral hernia
- Shorter hospital stay and faster recovery
- Earlier return of normal bowel function
- To avoid adhesions it is better avoid surgery. Hence, if surgery has to be done, laparoscopic surgery (minimally invasive surgery) causes fewer adhesions than laparotomy (open incision surgery).
What are the indications for adhesiolysis procedure ?
Patient selection is key for selecting laparoscopic or open procedure. Indications for Laparoscopic Adhesiolysis are as follows.
- Patients with a complete small-bowel obstruction or partial small-bowel obstruction that are not resolving with non-surgical therapy, but minus signs of complicating factors like peritonitis, bowel perforation or ischemia.
- Patients with an already treated chronic bowel obstruction but has a problem of recurrence.
- This procedure is to be presented to patients with chronic pelvic pain, if no other known etiology of pain is established in the previous diagnostic workups.
What are the contraindications for adhesiolysis procedure ?
Contraindications for laparoscopic adhesiolysis procedure are as follows.
- Organ perforation and peritonitis, requiring resection of bowels and handling of acutely inflamed organs.
- Massive distension of abdomen that interferes with laparoscopy.
- Patients with severe bleeding disorders.
- Surgeons who are not sufficiently trained to do this procedure.
How to find gynecologists for adhesiolysis procedure ?
Now you can find gynecologists for adhesiolysis procedure from different hospitals and destinations on a single platform, Hinfoways. You can avail opinions from multiple gynecologists, get approximate cost of adhesiolysis procedure from different hospitals, compare things and then choose a gynecologist for adhesiolysis procedure.
Find and choose a gynecologist for adhesiolysis procedure on Hinfoways. Make an informed choice.
Disclaimer: The content provided here is meant for general informational purposes only and hence SHOULD NOT be relied upon as a substitute for sound professional medical advice, care or evaluation by a qualified doctor/physician or other relevantly qualified healthcare provider.
