Adhesiolysis

Adhesiolysis is the name of a procedure used to remove scar tissue inside the uterus and in the reproductive tract. This procedure is generally used when scar tissue becomes problematic due to pain symptoms or interference with fertility.
Chronic pelvic pain is a debilitating disease that affects more than 20% of women today. Much of the pelvic pain is caused by scar tissue known as adhesions. Adhesions are bands of scar tissue that connect normally separated pelvic structures. This connection represents a common problem in gynecologic health care which causes incapacitating pelvic pain, infertility, constipation, and dyspareunia (painful intercourse). Patients are more likely to have adhesive disease after an injury. The injury can be caused by surgery, infection, radiation or trauma to the abdominal area.

Before the surgery, patients are generally given either local or general anesthesia. Then a small incision is made near the navel, and a special, telescope-like instrument called a laparoscope is used to explore the area of the adhesions and allow the accurate use of microsurgical tools to cut the overgrown scar tissue away, exposing normal, healthy tissue.

After the scar tissue is cut away, doctors often use materials called barrier agents to prevent the formation of new scar tissue in response to the disruption of the area. Barrier agents work by covering or coating the area to change the tissue growth response after surgery. Careful handling of tissue also helps prevent further scarring.

After the procedure, patients may experience some pain for several days, as well as vaginal bleeding or soreness at the site of the incision. The risk of infection or other complications is low, but any unexpected symptoms should be monitored by a doctor. Generally, patients can expect a return to normal activities within one to two weeks.

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