Laparoscopic adhesiolysis is the surgical removal of adhesions. An adhesion is nothing but a band of scar tissue which initially develops as a part of the human body’s repair mechanism in response to any tissue disturbances, for instances due to previous surgeries. In almost 90% cases, a patient who has undergone an abdominal surgery will develop adhesions. In most of these cases, the adhesions are asymptomatic i.e. they don’t show any symptoms, but in few cases these adhesions can cause pain and diseases such as Asherman’s syndrome.
The major risk factor to consider is that if the surgery is not done properly it may result in further adhesions, or recurring of the previous adhesion. Laparoscopy, as compared to open surgery, is known to reduce the risk of post-operation development of adhesions.
Laparoscopy plays an important role in not only adhesiolysis but also in preventing further adhesions when compared to open surgery. The high magnification provided during laparoscopy allows for very accurate identification of adhesions and also allows for very accurate correction of these adhesions which helps in restoration of normal anatomy Additionally, the minimal handling of tissues and the new low ____ spread devices used, cause minimal damage to surrounding tissues and prevent further formation of adhesions.
Laparoscopy, in general is a procedure in which a small & lighted instrument known as the laparoscope is inserted through small incisions made near the abdomen area. The instrument relays video to a screen which helps the doctor to inspect the inner organs in abdominal area and when the surgeon comes across the adhesions he splits them
This is generally an outpatient operation – operations in which the patient can leave the same day. The patient may be allowed to walk & drink within 12-14 hours. She/he may resume work after 8-10 days. However, the patient should consult his/her surgeon regarding these questions.
The patient may experience pain near the area where incisions were made for some days but the pain after laparoscopic adhesiolysis is much less when compared to open surgery. The doctor may prescribe medications in order to reduce the pain.
Last modified: February 8, 2017