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Lysis of Adhesions
(Cutting Adhesions; Adhesiolysis)
|Laparoscopic Cutting of Bowel Adhesions|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Obstruction of the bowel
- Limitation of joint motion
- Injury to organs or joint
- Worse adhesions
What to Expect
Prior to Procedure
- Blood and urine tests
- Imaging tests will be used to look for adhesions and complications from them:
- Talk to your doctor about your medications. You may be asked to stop taking some medications up to 1 week before the procedure.
- 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
- When you are asleep, a needle will be inserted to inject a gas into the abdomen. The gas will make the abdomen expand. This will make it easier to see the organs. The laparoscope will then be inserted through a small hole that is cut in the skin. The laparoscope lights, magnifies, and projects an image onto a screen. The area will be inspected. Several small incisions will be made in the wall of the abdomen. Using small instruments that are put through these holes, the adhesions will be cut out. Doing so will free the organs that were caught in the adhesions.
- When you are asleep, the laparoscope will then be inserted through a small hole that is cut in the skin. The laparoscope lights, magnifies, and projects an image onto a screen. The area will be inspected. Several small incisions will be made around the joint. Using small instruments that are put through these holes, the adhesions will be cut out. Doing so will free the adhesions that are restricting joint function.
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding your healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incision
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 medications you have been given
- Persistent nausea and/or vomiting
- Diarrhea, constipation, bloody stool, or black stool
- Abdominal swelling
- Increasing joint pain or swelling
- Trouble urinating
- Cough, shortness of breath, or chest pain
- Reviewer: Michael Woods, MD FAAP
- Review Date: 05/2017
- Update Date: 12/20/2014