Adhesiolysis - Khobragade Multispeciality Hospital

What is Adhesiolysis?

Adhesiolysis is a surgical procedure used to remove or separate adhesions—bands of scar-like tissue that form between internal organs and tissues, often as a result of surgery, infection, or inflammation. These adhesions can cause organs to stick together abnormally, leading to pain, restricted movement, or obstruction in body systems such as the intestines or reproductive tract. Adhesiolysis can be performed through open surgery or minimally invasive laparoscopic techniques, depending on the location and severity of the adhesions.Adhesiolysis is a valuable procedure for patients suffering from the complications of internal adhesions. With advancements in laparoscopic techniques, many patients can benefit from shorter recovery times, fewer complications, and long-term relief.

Symptoms of Adhesions

Many adhesions do not cause symptoms and may go unnoticed. However, when they interfere with organ function, common symptoms include:

Chronic abdominal or pelvic pain
Bowel obstruction (nausea, vomiting, bloating, constipation)
Pain during movement or exercise
Infertility in women (if affecting reproductive organs)
Pain during intercourse (dyspareunia)
Difficulty with urination or bowel movements

Procedure / Treatment Options

Adhesiolysis involves careful dissection and removal of the adhesions to restore normal organ movement and relieve symptoms. Treatment is typically recommended when adhesions cause:

Intestinal obstruction
Chronic pain unresponsive to conservative treatments
Infertility related to pelvic adhesions

Types of Adhesiolysis Procedures:

Laparoscopic Adhesiolysis
- Minimally invasive
- Small incisions and faster recovery
- Lower risk of new adhesion formation
Open Adhesiolysis (Laparotomy)
- Required for extensive or complex adhesions
- Longer recovery time
- Typically used in emergency cases such as severe bowel obstruction

Prevention of Adhesions

Although not all adhesions can be prevented, certain strategies help minimize the risk:

Using minimally invasive surgical techniques (laparoscopy)
Avoiding unnecessary surgeries
Using adhesion barriers during surgery (special gels or films)
Gentle tissue handling during procedures
Controlling infections and inflammation promptly

Benefits of Adhesiolysis

Relief from chronic abdominal or pelvic pain
Restoration of normal organ function
Prevention of future complications like bowel obstruction
Improved fertility outcomes in women
Enhanced quality of life and mobility

Who Needs Adhesiolysis?

This procedure is beneficial for individuals who have:

History of multiple abdominal or pelvic surgeries
Symptoms of bowel obstruction
Unexplained infertility
Pelvic pain related to past infections or endometriosis