Adhesions are typically removed surgically through a procedure called adhesiolysis. This can be done using either open surgery or laparoscopic ("keyhole") surgery.
Surgical Techniques for Adhesion Removal
The goal of adhesiolysis is to carefully cut or separate the adhesions without causing further damage to surrounding tissues. The surgeon will choose the most appropriate technique based on the location, extent, and severity of the adhesions.
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Open Surgery: This involves making a larger incision to directly visualize and access the adhesions. It may be necessary for complex or extensive cases.
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Laparoscopic Surgery (Keyhole Surgery): This minimally invasive approach uses small incisions through which a camera and specialized instruments are inserted. The surgeon uses these instruments to cut and remove the adhesions while viewing the area on a monitor. Laparoscopic surgery generally results in less pain, a shorter hospital stay, and a quicker recovery compared to open surgery.
Tools Used During Adhesiolysis
Surgeons use various tools to cut or separate adhesions, including:
- Scalpel: A traditional surgical blade for precise cutting.
- Electrocautery: An instrument that uses electrical current to cut and coagulate tissue, helping to control bleeding.
- Lasers: In some cases, lasers may be used to vaporize or cut adhesions.
Considerations After Adhesion Removal
Unfortunately, adhesions can sometimes reform after surgery. Surgeons employ techniques during the initial adhesiolysis procedure to minimize the risk of recurrence. This may include:
- Careful surgical technique: Minimizing tissue trauma during the procedure.
- Using adhesion barriers: Placing special materials between tissues to prevent them from sticking together during the healing process.
The decision regarding which surgical approach and techniques to use is made on a case-by-case basis, considering the patient's individual circumstances and the surgeon's experience. Consulting with a qualified surgeon is crucial to determine the best treatment plan.
