Gynaecology and Obstetrics – Laparoscopic Adhesiolysis


To understand the Laparoscopic Adhesiolysis procedure, we must first understand what adhesions are. Adhesions are fibrous bands of scar tissue that form between tissues and organs. It’s kind of an internal scar tissue that connects tissues which are not normally connected. They usually form after an abdominal surgery, or after a bout of gastrointestinal or intra-abdominal infection such as diverticulitis, pelvic inflammatory disease and the like. Almost 95% of all people who undergo an abdominal surgery develop adhesions, as they are a part of the body’s natural healing process.

Why is Laparoscopic Adhesiolysis required?

Although most adhesions don’t cause any symptoms, some may cause complications such as bowel obstructions, infertility, and chronic pain. Laparoscopy is a popular choice for treating adhesions so that no further adhesions are formed. Apart from being less invasive than traditional surgery, laparoscopic surgery is preferred because:

  • It causes less postoperative pain
  • Decreases incidence of ventral hernia
  • Reduces recovery time with earlier return of bowel function
  • Makes for shorter recovery time and hospital stay

When is Laparoscopic Adhesiolysis Required?

Laparoscopic Adhesiolysis has a number of potential advantages, but these advantages can only be realized only if the procedure is performed in patients who are best suited for it. The procedure is suited for patients who:

  • Have a complete small-bowel obstruction or partial small-bowel obstruction not resolving with non-operative therapy, but without signs of peritonitis or bowel perforation or ischemia.
  • Patients with resolved bowel obstruction but with a history of recurring, chronic small-bowel obstruction.

There has been a recent establishment of a hospital in Darbhanga, which is one of the very few specialized gynaecology hospitals in Darbhanga. The hospital has experienced gynaecologists at its disposal for treatment of various problems related to gynaecology and obstetrics.