Lysis of Adhesions: Your Guide to Safe Surgery


    Adhesiolysis or lysis of adhesions is a surgical procedure that involves the meticulous dissection of tissue bands known as adhesions that develop between internal organs. These adhesions are frequently the result of the formation of scar tissue following prior surgical interventions. Adhesions possess the capacity to tether adjacent organs, potentially leading to intense discomfort and impairing the optimal functioning of the affected organs.

    What’s the Lysis of Adhesions and Why is it Done?

    Adhesions are notorious for triggering persistent and debilitating pain. The surgical excision of these adhesions serves as a vital remedy for alleviating this distressing symptom. Beyond pain, adhesions pose the risk of intestinal obstruction, a condition associated with severe manifestations such as excruciating abdominal pain and uncontrollable vomiting.

    Left untreated, this obstruction can inflict lasting harm on the intestines, potentially leading to life-threatening consequences. To counter these issues, surgical intervention becomes a necessary measure. In addition, it’s worth noting that pelvic adhesions in women can further present challenges, potentially contributing to infertility.

    Procedure for Lysis of Adhesions

    Adhesions can be treated through a procedure known as adhesiolysis. This procedure offers two approaches:

    • Laparoscopy: During laparoscopy, a few small incisions are made in your abdominal area (belly).
    • Open Surgery: Alternatively, adhesiolysis can be performed as open surgery, involving a larger incision.

    Laparoscopic Lysis of Adhesions

    You will be given general anesthesia to induce a deep sleep during the procedure.

    In the case of a laparoscopy, the medical professional will create 2 to 4 small incisions in your abdominal area. They will insert a lengthy, slender tube known as a laparoscope, equipped with a camera, into one of these openings. The camera transmits images of your abdomen onto a video screen, granting your healthcare provider a clear view of the interior. Other miniature surgical instruments are introduced through the remaining small incisions. To enhance visibility and maneuverability, your belly is gently filled with carbon dioxide.

    Open Surgery

    Before the surgery, you’ll also receive a medication known as general anesthesia, which will induce a profound state of slumber throughout the duration of the procedure.

    The healthcare provider will make a larger incision in your abdominal area, and a laparoscope is not utilized. The provider will then proceed to meticulously cut and remove the adhesions. This process enables your organs to regain their freedom of movement.

    Upon completing the surgery, the laparoscope and other instruments are withdrawn, and the incisions are meticulously closed.

    Possible Complications that Comes with Lysis of Abdominal Adhesions

    Complications arising from the procedure are infrequent, though it’s important to recognize that all medical interventions carry some degree of risk. Your physician will discuss potential issues, such as:

    • Organ damage
    • Aggravation of adhesions
    • Bleeding
    • Infection
    • Hernia

    Prior to Lysis of Adhesions Procedure

    Before the surgical procedure, your medical team will undertake several essential steps to ensure your well-being. This includes a thorough examination and the possibility of the following diagnostic evaluations:

    • Blood and urine tests: These tests provide valuable insights into your overall health status, helping your doctor make informed decisions about your surgery.
    • Imaging tests: To assess the presence of adhesions and any potential complications associated with them, your medical team may employ advanced imaging techniques such as:
    • Ultrasound: Utilized to visualize the internal structures and locate adhesions within your body.
    • CT scan (Computed Tomography): This imaging method creates detailed cross-sectional images of your abdomen, aiding in a comprehensive assessment of adhesions and their impact.
    • MRI scan (Magnetic Resonance Imaging): Offering a detailed view of soft tissues and organs, an MRI can help detect adhesions and any potential issues.

    Leading up to the surgery, it’s important to take the following preparatory steps:

    • Medication discussion: Have an open dialogue with your doctor about the medications you’re currently taking. Some medications may need to be discontinued, and your healthcare provider will guide you on when and how to do so, which may be up to a week prior to the procedure.
    • Transportation and assistance: Plan in advance for your post-surgery needs. Arrange for transportation home from the hospital, as you won’t be in a condition to drive. It’s also advisable to have a friend or family member available to provide assistance during your initial recovery period at home.
    • Dietary instructions: The night before the surgery, enjoy a light meal. However, refrain from eating or drinking anything after midnight, following your healthcare provider’s guidance. This precaution helps ensure a safe and successful surgery.

    After the Procedure

    Throughout your hospital stay, the healthcare team is dedicated to minimizing the risk of infection, and they do so through a series of stringent measures, which include:

    • Hygiene: It’s a top priority for the hospital staff. They consistently wash their hands with soap and water or use hand sanitizers to ensure cleanliness.
    • Personal Protective Gear: Healthcare providers, when necessary, wear gloves and masks to maintain a sterile environment, reducing the likelihood of infection transmission.
    • Incision Care: Keeping your incisions protected and well-covered is another critical step in preventing infections. Dressings and bandages are appropriately applied and regularly changed to maintain cleanliness.

    Moreover, as a patient, you can actively contribute to the prevention of infections by following these guidelines:

    • Frequent Handwashing: Make it a habit to wash your hands regularly with soap and water, and don’t hesitate to remind your healthcare providers to do the same. Hand hygiene is an essential practice in infection control.
    • Advocating for Safety: You have the right to ask your healthcare providers to wear gloves and masks when necessary, particularly during procedures that involve direct contact with you.
    • Limiting Contact: Restricting access to your incision site is crucial. While family and friends may have the best intentions, it’s essential to avoid allowing others to touch or handle your incisions to prevent potential contamination.

    By adhering to these practices, both healthcare professionals and patients play a collaborative role in upholding a safe and sterile healthcare environment, thereby minimizing the risk of infections during your hospital stay.

    Know the Lysis of Adhesions Process for a Safer Healthcare Journey

    In the journey towards understanding and preparing for the lysis of adhesions procedure, it’s crucial to stay well-informed and actively engaged in your healthcare. Remember, this knowledge equips you with the tools to ask the right questions, advocate for your well-being, and make the best decisions for your health.

    As you embark on this path, make sure to communicate openly with your medical team, adhere to their guidance for a smooth pre-surgery process, and maintain diligence in infection prevention measures during your hospital stay. Your active involvement in your healthcare journey is not only encouraged but paramount to a successful and safe recovery.