Laparoscopic Adhesiolysis Procedure & Surgery

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Occurrence of adhesions in the body is relatively more common than it might actually be thought to be. Adhesiolysis is a surgical procedure performed to remove or segregate adhesions in order to regain the normal anatomy and functionality of an organ, as well as the pain induced, can be reduced. Laparoscopic adhesiolysis is one of the medical ways to approach the lysis of adhesions in the body. Before we delve deep into understanding the process of laparoscopic adhesiolysis it is important to collect adequate awareness around the concept of occurrence of adhesions in the human body, the common symptoms and adverse effects from it.

Adhesions can be referred to as a band of scar tissues that are initially developed in the body as a mode of natural repair for any kind of tissue disturbance can occur due to surgeries, infections, radiations or conditions such as endometriosis ( which often leads to the production of more adhesions than average ). It is very rare when adhesions occur without any apparent or known tissue trauma since majorly they occur as a part of the normal healing process.

Typically, adhesions occur near the peritoneal surface although, it can also be formed between two surfaces or between two adjacent organs like the fallopian tubes, intestines, momentum or the abdominal wall. Thus, adhesions can result in the binding of two organs or tissues together in such a way that it leads to pangs of pain or malfunctioning of organs. In some of the rare cases, it can also result in life-threatening conditions such as bowel obstruction. They can broadly occur as either thin, avascular sheets of tissue or thick vascular fibroid bands of adhesion, among which the latter is considered to be a more severe and difficult to remove the condition.

Typically, there aren’t any major and visible symptoms of the presence of adhesions in an individual. However, in some cases, it can cause pain by pulling nerves either within an organ having adhesions or even within the adhesion itself. The symptoms of the presence of adhesions that can lead to your doctor suggesting you to undergo laparoscopic adhesiolysis can fall under the below-mentioned list of major symptoms:-

  1. Adhesions that are present above the liver can lead to pain while breathing deeply.
  2. Acute pain can be caused while engaging in exercises or stretching in case of presence of adhesions near intestines.
  3. Intercourse can lead to pain if there is the presence of adhesions near the vagina or uterus.
  4. Adhesions can also lead to general pelvic pain
  5. In comparatively severe cases it can lead to complete loss of the normal functioning of the organ or tissue death.
  6. In case of involvement of adhesions in the ovaries, it can cause ovulatory disruptions.
  7. Presence of adhesions can also be a cause of infertility with its inclination towards unexplained infertility.
  8. It can also be a cause of severe life-threatening conditions like bowel obstruction as due to the presence of adhesion, intestines can twist themselves at the adhesion sites and therefore barring the movement of the internal components.

Although there aren’t any apparent symptoms marking the presence of adhesions any person undergoing any kind of surgical procedure is bound to suffer from adhesions later. However, it can also occur in the people who haven’t had any surgery ever but for the people who have indulged in any kind of surgery are highly likely to have adhesions. Not all kinds of adhesions require treatment to be removed from the body. Some are just harmless while some can be reduced to a level where they don’t cause any discomfort by assuring a healthy or majorly liquid diet and proper lifestyle as well.

Diagnosis of adhesions is, however, a tricky area. Established tests like blood tests, X-ray procedures, CT scans, MRIs and ultrasounds aren’t capable enough to detect an adhesion. Hysterosalpingography (an X-ray that views the inside of the uterus and fallopian tubes) can help to diagnose adhesions but only in case of the uterus and fallopian tubes. Diagnostic laparoscopy is then the only test that facilitates the specialist to be able to diagnose the adhesions and in case of confirmation of the presence of adhesions they can be removed simultaneously and this procedure indeed is known as laparoscopic adhesiolysis. However, asking the patient to undergo laparoscopy is suggested only after all the possible tests to confirm the cause of symptoms that can parallelly hint towards the presence of adhesions is already carried out. In case none of the tests led to any concrete accessible cause to such symptoms the doctor may then suggest a laparoscopy.

Laparoscopy is a process in which a tube with a camera, light and in some cases the medical instrument is inserted into the body through a very short cut. The camera of the tube is synced with the monitor access to the doctor where it can precisely study the internal condition. Laparoscopic adhesiolysis, also known as keyhole surgery, is a process where laparoscopy is used to remove adhesions by either cutting them off by scalpel or else by electric current. Laparoscope provides clear and precise visualization and magnification of the adhesions and the affected organs. The gas (in most of the cases CO2) which is used to inflate the area facilitates the doctor to achieve a natural space between organs to carry out the surgery successfully and with lesser risks.

There are few other ways to treat adhesions as well like medications, exercise, physical therapy, lifestyle changes and open adhesiolysis. On one hand where medications aren’t sufficient enough to treat adhesions and are economically straining as well and rest of the ways may lead to a frequent or quick reoccurrence of adhesions. Thus, laparoscopic adhesiolysis poses to one of the best suitable options. Some of the major advantages of opting laparoscopic adhesiolysis are as follows:-

  1. It is the most suitable form of surgery in case of treating infertility as it decreases the rate of reoccurrence.
  2. It can be performed by creating very small cuts which lead to smaller scars compared to any other medical surgery later.
  3. These are scars happen to be less painful comparatively as well as heal quicker.
  4. It causes less internal scarring.
  5. Improves the quality of life among the women with chronic pelvic pain due to the presence of adhesion.
  6. Laparoscopy has been found to be having low reoccurrence frequency or a longer time interval of reoccurrence.
  7. It also requires comparatively shorter hospital stays which in turn are economically less straining.
  8. It leads to quicker healing as well as the comparatively early start of oral feeding and solid diet.

Thus, in the case of adhesions that are problematic enough to push a patient to surgery, laparoscopic adhesiolysis is highly recommendable but definitely under proper and efficient medical assistance and supervision.

Talking about the proper medical supervision and guidance, we here are Apollo Cradle has been successfully providing this medical assistance to our patients since 3 decades now. Apollo Cradle Nehru Place is equipped and capable enough to cater to all such cases. We work efficiently due to our underlying core of efficient specialists, well-trained nurses, and a well-equipped infrastructure and advanced machinery. In addition to our expertise at the various speciality (paediatrics, gynecology, fertility, maternity etc.) centres that Apollo Cradle provides to our patients, we also ensure a safe, healthy and homely environment for our patients to stay and recover in as well as smooth and friendly assistance and services to the family members. Apollo Cradle ensures you and your family of prosperous health through its services.