Definition | Reasons for Procedure | Possible Complications | What to Expect | Call Your Doctor

Definition

Adhesions are scars that form within the body. They usually form in the abdomen or pelvis. 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

Abdominal Adhesion
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Reasons for Procedure

Adhesions can cause:

This surgery can fix intestinal blockage and treat infertility caused by adhesions. It also reduces chronic abdominal pain in some individuals.

What to Expect

Your doctor will perform a physical exam and may order some of these tests:

  • Blood and urine tests
  • Ultrasound —a test that uses sound waves to visualize the inside of the body
  • CT scan —a type of x-ray that uses a computer to make pictures of the inside of the body
  • MRI scan —a test that uses magnetic waves to make pictures of the inside of the body

Leading up to the surgery:

  • Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
    • Anti-inflammatory drugs (eg, aspirin )
    • Blood thinners, such as clopidogrel (Plavix) or warfarin (Coumadin)
  • Arrange for a ride home from the hospital. Also, arrange for someone to help you at home.
  • Eat a light meal the night before the surgery. Do not eat or drink anything after midnight.

General anesthesia —blocks pain and keeps you asleep through the surgery; given through an IV in your hand or arm

This surgery is usually done laparoscopically. After you are asleep and not feeling any pain, a needle will be inserted to inject a gas into the abdomen. The gas will make the abdomen expand. This will make it easier to see the organs. The laparoscope will then be inserted through a small hole that is cut in the skin. The laparoscope lights, magnifies, and projects an image onto a screen. The area will be inspected. The doctor will make several small incisions in the wall of the abdomen. Using small instruments that are put through these holes, the doctor will cut out the adhesions. Doing so will free the organs that were caught in the adhesions.

In some cases, the doctor may need to switch to open abdominal surgery (called laparotomy). The doctor will make a larger incision in the abdomen. This will allow direct access to all of the organs. The adhesions will be cut out.