Understanding Lysis of Adhesions
Lysis of adhesions is a surgery to cut bands of tissue that form between organs. These bands are called adhesions. They are often caused by scar tissue that formed after an earlier surgery. Adhesions can connect organs to each other. This can cause severe pain and stop organs from working well.
How to say it
Why lysis of adhesions is done
Adhesions can cause severe, ongoing pain. Cutting the adhesions helps ease this pain. Adhesions can also cause blockage of the intestines. This blockage can lead to serious symptoms such as severe pain and vomiting. It can also cause long-term (permanent) damage to the intestines. It can even be fatal. You need surgery to prevent or treat these problems.
How lysis of adhesions is done
Lysis of adhesions may be done using a method called laparoscopy. This method uses a few small cuts (incisions) in your belly (abdomen). Or it may be done as open surgery, with a large cut.
You are given medicine (general anesthesia). This puts you into a deep sleep through the procedure.
For a laparoscopy, the healthcare provider makes 2 to 4 small incisions in your belly. A long, thin, lighted tube (laparoscope) with a camera on the end is placed in one of the cuts. The tube sends pictures of your belly to a video screen. This lets your healthcare provider see inside your belly. He or she puts tiny surgical tools through the other small cuts.The provider fills your belly with carbon dioxide. This gas makes more room in your belly so the provider can see and work more easily.
If open surgery is done, the provider makes a large cut in your belly. The laparoscope is not used.
The provider cuts and removes the adhesions. This lets the organs move more freely.
When the surgery is done, the scope and other tools are removed. The cuts are closed.
Risks of lysis of adhesions
Damage to abdominal organs
Damage to the intestine
Need to switch to open surgery
Return of the adhesions
Risks of anesthesia
March 21, 2017
Baggish MS. Adhesiolysis. In: Baggish MS, editor. Atlas of Pelvic Anatomy and Gynecologic Surgery. 4 ed. Philadelphia: Elsevier; 2016. p. 331-7., Hermann A, et al. Adhesions are the major cause of complications in operative gynecology. Best Practice & Research: Clinical Obstetrics & Gynaecology. 2015 October 19:1-13., Szomstein S, al. e. Laparoscopic Lysis of Adhesions. World Journal of Surgery. 2006;30:1-7.
Images Reviewed by Staywell medical art team.,Mancini, Mary C, MD,Ziegler, Olivia, MS, PA