Treatment of Adhesions

TREATMENT OF ADHESIONS

Consult The Best Laparoscopic Surgeons In Lahore For Your Adhesions treatment

Adhesions are bands of scar tissue that connect two normally separate surfaces of the body.

Scar tissue formation is the body's repair mechanism in response to tissue destruction caused by surgery, infection, injury (trauma), or radiation.

Adhesions can affect the female reproductive organs (ovaries and fallopian tubes) in patients who have under gone open surgery for cyst, fibroid, tubal pregnancy or because of infection. They can cause a range of problems, including:

Infertility
Dyspareunia (painful intercourse)
Pelvic pain
Intestinal blockage or bowel obstruction.

Adhesions can also lead to a complex problem called adhesion related disease (ARD).

Sticking is a common problem. Adhesions occur in up to 93% of people who have had abdominal surgery. Intra-abdominal adhesions also develop in 10% of people who have never had surgery, that are because of infection

Adhesion Diagnosis

Chronic pain with adhesions can be difficult to properly diagnose. Common diagnostic tests like blood tests, X-rays, CT scans, MRIs, and ultrasounds cannot diagnose adhesions. Hysterosalpingography (X-rays of the uterus and fallopian tubes) may help diagnose adhesions in the uterus or fallopian tubes.

Based on your symptoms, your doctor will order appropriate diagnostic tests to rule out other conditions that may have similar symptoms.

If the results of these tests are normal or negative for abnormal pathology, diagnostic laparoscopy may be appropriate. This is the only test that can confirm the presence of sticking. If adhesions are found, doctors can usually release them in the same surgery.

Development of adhesions

Adhesions occur when the body tries to repair itself. However, your body may have the usual reaction after:

surgery, especially abdominal surgery
Infection
Endometrial lining
Injury (trauma)
Radiation Therapy.
Adhesions may also form after an infection in the abdomen or pelvis.

TREATMENT OF ADHESIONS

Symptoms of adhesions

Although most adhesions are painless and do not cause complications, they cause small bowel obstruction in 60 to 70 percent of adults and are thought to contribute to the development of chronic pelvic pain.

Adhesion-related disorders (ARDs) are a group of symptoms that can arise from adhesions. Patients with ARD often have chronic abdominal pain.

Typical adhesions develop within the first few days after surgery, but symptoms can persist for months or even years. Symptoms may occur primarily in one area of the abdomen but are often general, vague, "colic" and difficult to spot. This means that ARD can be difficult to diagnose.

Symptoms of ARD may include:

Chronic pain
Infertility
Bowel obstruction and inability to pass gas
Bladder dysfunction
Painful and difficult bowel movements
Pain with movement, such as walking, sitting, or lying in certain positions
Mood disorders, such as depression, suicidal thoughts, or hopelessness.

Adhesion Risks And Complications

Adhesion may:

Develops after any type of pelvic or abdominal surgery - people who have undergone major or multiple surgeries are at greater risk.
It leads to higher complications (leakage, wound infection, bleeding) after surgery in people with perforations and adhesions or longer stay at the hospital.
It can lead to other risks and complications, including small bowel obstruction, infertility, and chronic pelvic pain
It leads to increased risks, complications, and complications in subsequent procedures.
The incidence of adhesions increases with open gynecological surgery.
Postoperative adhesions occur in up to 90% of women after major gynecological surgery done with long incision on the abdomen other than laparoscopic procedure.

TREATMENT OF ADHESIONS

Treatment for Adhesions

Adhesions can be treated with laparoscopic (keyhole) surgery, called adhesion degeneration. Cut the adhesions with ligassure/laser or electric current.

Laparoscopic treatment of adhesions

People with adhesion symptoms may consider laparoscopic surgery. The advantage of this surgery is that only a small incision (incision) is required, which is why it is also called "keyhole surgery." Laparoscopy is the method of choice for infertility surgery because the risk of new adhesion formation is minimal.

Laparoscopic adhesiolysis improves the quality of life in women with chronic pelvic pain due to adhesions, treat the fertility after dissolving the adhesions around the tubes and ovaries, to treat intestinal symptoms(bloating after meal). In treating extensive adhesions, the procedure has shown results similar to more invasive forms of surgery. However, it can be time-consuming (the process can take two to four hours), technically difficult, and involve some risks. Adhesion barriers (commercially manufactured) placed during surgery can reduce the formation of adhesions.

Laparoscopic surgery is not just a technique its an art to treat everything without damage.
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Adjunctive therapy after the adhesions dissolves, is used to prevent the development of intrauterine adhesions.

Most women who choose to undergo laparoscopic adhesiolysis:

On the same day discharged from the hospital.
No need for a large incision (cut) in the abdomen.
Experience minimal complications.
Return to the normal routine within a week after surgery.

Non-surgical treatment of adhesions

Alternatives to surgery include:

Medication: This is often the treatment of choice for acute pain and is part of chronic pain management and have to taken as life long treatment with low safety profile
Physical Exercise
Physical therapy
Lifestyle changes
Soft tissue mobilization

While medications may help, they are not a panacea. They can cause side effects, can be ineffective, and are often empirical(psychological support only).

You should discuss this treatment with best Gynecologist in lahore