Adhesiolysis is the surgery that is performed to fully remove or divide adhesions so that normal anatomy and organ function can be restored and patient’s painful symptoms can be fully relieved. There will be some rare cases, in which adhesions form without any visible or known tissue trauma.
While some adhesion will be formed as part of the normal healing process. In few cases excessive scar tissue will get developed, Which will be disproportionate to the original injury. As an outcome of this can bind your organs or tissue together in a way that begins to cause pain, organ dysfunction, or other symptoms. In few rare cases, adhesions can cause life-threatening injuries, like bowel obstruction also.
Adhesions may appear as thin, vascular sheets of tissue similar to plastic wrap or as thick, vascular fibrous bands of adhesions, which are considered as the more severe and will be more difficult to remove. Indications for lysis of adhesions always be individualized to the patient concerned. Indeed in cases of the acute abdomen secondary to intestinal obstruction or perforation, an immediate surgery and resection are advised. But, we can’t fully endorse any surgery is by no means that it can be absolute. In a prospective report, only 46% of patients treated with radiographic and clinical evidence of bowel obstruction secondary to adhesions required operative intervention. In cases of chronic pain , even infertility for that matter, lysis of adhesions may be considered an elective procedure.
Understanding of the problems that adhesions may be causing led to the development of “second-look” procedures to assess adhesiolysis after gynecologic surgery. We need to consider second-look procedures may have some adverse effects, but beneficial at 14 days after injury.