Lysis of Adhesions
(Cutting Adhesions; Adhesiolysis)
|Laparoscopic Cutting of Bowel Adhesions|
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Reasons for Procedure
- Obstruction of the bowel
- Injury to organs
- Worse adhesions
What to Expect
Prior to Procedure
- Blood and urine tests
- Ultrasound—a test that uses sound waves to visualize the inside of the body
- CT scan—a type of x-ray that uses a computer to make pictures of the inside of the body
- MRI scan—a test that uses magnetic waves to make pictures of the inside of the body
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
- Anti-inflammatory drugs (such as aspirin)
- Blood thinners, such as clopidogrel (Plavix) or warfarin (Coumadin)
- Arrange for a ride home from the hospital. Also, arrange for someone to help you at home.
- Eat a light meal the night before the surgery. Do not eat or drink anything after midnight.
Description of the Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Be sure to follow your doctor’s instructions.
- Keep the incision area clean and dry.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Take pain medicines as directed by your doctor.
- Avoid heavy lifting.
- Do not drink carbonated beverages for two days.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision site
- Pain that you cannot control with the medicines you have been given
- Nausea and/or vomiting that you cannot control with the medicines you were given after surgery, or which persist for more than two days after discharge from the hospital
- Diarrhea, constipation, bloody stool, or black stool
- Abdominal swelling
- Trouble urinating
- Cough, shortness of breath, or chest pain
American College of Surgeons http://www.facs.org
International Adhesions Society http://www.adhesions.org
Health Canada http://www.hc-sc.gc.ca/index%5Fe.html
Healthy U http://www.healthyalberta.com
Dunker MS, Bemelman WA, et al. Long-term outcomes and quality of life after laparoscopic adhesiolysis for chronic abdominal pain. J Am Assoc Gynecol Laparosc. 2004;11:36-41.
Katz VL et al. Comprehensive Gynecology. 5th ed. St. Louis, MO: Mosby; 2007.
Khatri VP, Asensio JA. Operative Surgery Manual. 1st ed. Philadelphia, PA: Saunders; 2003.
Kumar V, Abbas AK, et al. Robbins and Cotran Pathologic Basis of Disease. 7th ed. Philadelphia, PA: Elsevier; 2005.
Lamvu G, Tu F, et al. The role of laparoscopy in the diagnosis and treatment of conditions associated with chronic pelvic pain. Obstet Gynecol Clin N Am. 2004;31:619-630.
A patient’s guide to adhesions and related pain or…you are not alone. International Adhesions Society website. Available at: http://www.adhesions.org/ptguide%5Fprint.htm. Published 1998. Accessed September 16, 2005.
Saravelos HG, Li TC, et al. An analysis of the outcome of microsurgical and laparoscopic adhesiolysis for chronic pelvic pain. Hum Reprod. 1995;10:2895-2901.
Stenchever MA, Droegemueller W, et al., eds. Comprehensive Gynecology. 4th ed. St. Louis, MO: Mosby; 2001.
Townsend CM, et al. Sabiston Textbook of Surgery. 17th ed. Philadelphia, PA: Saunders; 2004.
- Reviewer: Marcin Chwistek, MD
- Review Date: 11/2012 -
- Update Date: 11/26/2012 -