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Adhesiolysis Treatment
Relevant information about Adhesiolysis Treatment.
- What does the treatment consist on
Adhesiolysis is the technique of the medicine that treats peritoneal adhesion. Peritoneal adhesion is the adhesion of scar tissue (fibrous tissue) that causes organs within the human body to adhere to other organs which are not commonly connected and related. Adhesions can be serious depending on the cases, because they affect important organs. Some of the consequences that can appear for having peritoneal adhesion are the affection to the female reproductive organs (causing in some situations infertility), the debilitating pelvic pain, and dyspareunia (feeling pain during the sexual intercourse). In some cases the adhesions might cause problems to the heart because they can be located in areas to close to this main organ. Adhesions can generally appear after suffering an inflammation or injury and are formed in the abdominal- pelvis cavity. Adhesions are the way that the body finds when it has to repair itself; the problem is that the repair cells cannot establish the difference between and organ and another.
- Which problem does the treatment solve
The treatment will solve several problems, because being a victim of peritoneal adhesion generally brings many health troubles. Adhesions can bring: a high risk of small bowel obstructions, a considerable percentage of causing infertility, it can be the cause of having chronic pelvic pain, it reduces the quality of life, and those patients that present adhesion related perforations may have higher post operation complications and conflicts, adhesion reduces the productivity and generates tiredness, finally it increases the risk and complexity of subsequent surgery. There are many factors that can contribute to the formation of adhesions, for instance trauma, which is a healing process; adding foreign bodies that include stitches can cause an inflammatory reaction in the body and bring as a consequence the formation of an adhesion; and ischemia, which is a reduction of blood flow to the tissue.
- How is the treatment performed
Adhesions can be healed by using a special treatment and also performing a surgery. In the first case, using medication will be essential to reduce the pain and the uncomfortable sensation of suffering peritoneal adhesion. If the pain is acute, medication will be the first step and the principal to treat it. If the patient presents chronic pain, the medication will play an important role in the healing but it will not be the unique solution. However, besides the use of medication it is important for the affected person to search for a pain specialist. Only this type of professionals can bring precise solutions, and know how to treat chronic pain. Pain medicine concerns about the evolution, prevention, diagnosis rehabilitation and treatment of extremely painful disorders. When the patient presents a chronic pelvic pain, it is probable that the situation will be controlled by a group of interdisciplinary professionals, such as, urologists, nurses, pain specialists and physical therapists.
There is another way to treat adhesions that is called a minimally invasive surgery for adhesions. Laparoscopy surgery is the most chosen by patients because it can treat infertility with a decreased risk during the procedure. This technologic procedure allows the surgeon to have a panoramic pelvis visualization which plays a significant paper during the whole surgery. Patients also enjoy the benefits of undergoing these operations: the healing process is short, and they have a rapid recovery. The surgery is divided into two main points: first of all the surgeon will make a division of all the adhesions to the anterior abdominal wall. The second step is to divide the small bowel and omental adhesions that are in the pelvis, finally the doctors will make bowel function again.
- Surgery/ treatment length: The surgery can last from one to two hours. The patient will be completely numb by using general anesthesia. The laparoscopy surgery can last between two or four hours, depending on the difficult and severity of the case.
- How is the post surgery /treatment process
As the laparoscopy surgery brings many advantages, it is important to know that going under this kind of operation has benefits related to the short time of recuperation. The small size of the incisions make easier the process of healing that has to be done by the human body in a natural course which in the majority of the general surgeries can last several months; by going under a laparoscopy surgery this is omitted and the cure is faster.
It is known that all the surgical treatment present a percentage of risk. Depending on the type of surgery and the possible complications of the case, this risk can grow or decrease. In this type of surgery, the risk is low due to the modern techniques that are used and the importance of the narrow incisions. The risk of having an infection decreases because the incisions made are not big and heal faster. Although the chance of infection is always present, it can be prevented by taking specific medication recommended by doctors.
- What does the surgery /treatment do
The surgery will extract the adhesions that the patient has, making him/her feel healthier and more enthusiast. It normal for people who have adhesions to feel more tired than usual, and to present a bad mood, which affects the life of the patient. Adhesions also cause problems related to fertility that could bring problems to the relationship of the couple. It is important to treat adhesions as soon as they are diagnosed, because the problems brought by them may increase with time and make the removal more complex.
- What does the surgery /treatment not do
The surgery will not introduce any foreign object to the patient's body. The laparoscopy surgery will be done by taking an initial view of the area affected, to begin solving the problem by removing the adhered tissue.
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