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Adhesions

Posted Jan 31 2012 1:42pm

Today we are going to discuss adhesions that develop after surgery and how can it affect the patient in the future.

First of all, i would like to apologize for the stop of the blog's post in the previous couple of months. We are now back and we have more posts that we hope you find it interesting.

Let's start by defining adhesions. Adhesions are fibrous bands that form between internal organs. Adhesions commonly occur in the abdomen and pelvis. It is a common complication of surgical operations. 

Symptoms of adhesions:
- Abdominal adhesions: is commonly asymptomatic. However it can cause small intestinal obstruction. In fact, abdominal adhesions are the commonest cause of small intestinal obstruction in adults. 
Symptoms of intestinal obstruction include severe abdominal pain, vomiting. Later on, the patient may suffer from constipation and abdominal distension. 


- Pelvic adhesions:
The following image shows bands of adhesions following a cesarean section:
Pelvic adhesions can be a result of surgery or pelvic inflammatory disease. Infertility or ectopic pregnancy can result from pelvic adhesions. This is due to the fact that adhesions distort the shape of the normal fallopian tubes.

Adhesions involving the vagina may cause dyspareunia (pain during sexual intercourse).


Treatment of adhesions:
If adhesions cause complications as infertility, it must be surgically divided. 
However if it causes adhesive intestinal obstruction, we can try conservative treatment before resorting to the surgical way. Adhesive intestinal obstruction tends to recur and so the surgical line of treatment is our second option.
Conservative treatment includes naso-gastric suction and intravenous replacement of fluids. Close observation is vital to detect if there is improvement. If there is no response in 24 hours, then surgery must be performed to divide adhesions.

I would like to know your feedback whether you write it here or on the facebook fan page. Do not hesitate to post any questions you have. 


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