Scar tissue formed consequent to surgeries or that are formed between organs are known as adhesions. About 90 % of patients who undergo abdominal surgeries have been reported to develop adhesions. They are normally asymptotic and do not pose any threat to the life of the patients concerned. There are possibilities that adhesions may cause severe bowel problems.
Open surgical procedure was followed till the last decade of the twentieth centaury for the removal of adhesions. But in 1991 laparoscopic surgical procedure was carried out for clearing a bowel obstruction caused as a result of adhesions.
- Important symptoms of abdominal adhesions are given below.
- Abdominal pain
- A sensation of cramping
- Difficulty in bowel movement
- Swelling in the abdomen
- Intermittent vomiting
Problems caused by adhesions
- Intestinal adhesions can lead to pain while exercising or while taking a deep breath.
- Adhesions in vagina or vulva can cause pain during intercourse.
- Adhesions can cause problems in bowel movement.
- Adhesions can create cramping pain inside your stomach.
This procedure is generally done under general anesthesia. Through a small incision near the naval a laparoscope which is an instrument with a camera is inserted to the abdomen. The surgeon will be able to see the videos taken by this camera in a monitor near him. Through other small incisions in the belly other instruments needed for carrying out the surgical procedure are inserted. The surgeon carries out the surgery by viewing the video of the surgical procedure and the internal organs taken by the camera and controlling the special instruemtns with the help of their controls which are near him. After removing the adhesions the instruments and the laparoscope are taken back through the incisions by which they were inserted and the incisions are closed.
Peculiarities of laparoscopic surgeries
- There will be little pain and the healing will be faster as the incisions are smaller.
- The recovery and return to work will be faster.
- The scars will fade away after healing the wounds which will give a better cosmetic appearance.
- Obese persons and diabetic patients are usually not recommended for laparoscopic procedure.
- A person who has earlier undergone a surgical procedure is not considered for laparoscopic adhesiolysis.