Gynaecology and Obstetrics – Laparoscopic Adhesiolysis
Overview
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.
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