Pelvic Adhesions

What are Pelvic Adhesions?

Pelvicadhesions are bands of scarlike tissue that form between two surfaces inside thebody. Inflammation from infection, surgery, or trauma can cause tissues to bondto other tissues or organs.

Pelvicadhesions are the cause of many gynecological problems including significantpain, infertility and conception. Pelvic adhesions are irritations of a woman'spelvic organs as a result of a "pelvic inflammatory event" or from traumato the area such as in the case of pelvic or gynecological surgery.
Examples of a pelvic inflammatory event include; fallopian tube infections thatmight occur from endometriosis, removal of an ovarian cyst, sexually transmitted diseasessuch as gonorrhea, post surgery infections, and even appendicitis andappendectomies. 

As a woman's body's pelvic area recovers from an inflammation, trauma orsurgery, it begins the healing process and starts to repair itself.  Thewoman's body and its' healing process may cause some tissues and structures in the pelvis to become unintentionally "stuck" to another tissue or structure. In a normalwoman's healthy pelvis, this space is lined with a tissue called the peritoneum, which also covers the outside of organs located in the abdomen and pelvis. Inthe pelvis of a non-injured/non-irritated woman, the peritoneum can be very"slippery" with the the organs and structures lying immediately next to each otherthat "slip" off each other and do not become bonded together. With awoman who has had a pelvic inflammation, trauma or injury, her body's healing processstarts a sequence of events that may result in some of the pelvic tissues becoming "stuck" toor "adhering" to tissues or organs next to the inflamed, or injuredtissue, and when this occurs, the outcome may be pelvic adhesions.

Thesurgical procedure for removing pelvic adhesions is known as "adhesiolysis."Pelvic adhesions removed through adhesiolysis surgery canbe a costly medical problem. According to a study, adhesiolysis (the surgery that removes pelvic adhesions) was responsible for about  450,000 adhesiolysis surgeries and hospitalizations involving the female reproductive system and digestivetract occurred in 1993 alone and accounted for over $2 billion in hospitalization and surgeon expenditures.

Whatare surgical adhesions?

Surgical adhesions are very similar to pelvic adhesions. Surgical adhesions may beginforming within 3-5 days after surgery.

Whatis Adhesiolysis?

Treatment for the removal of Pelvic Adhesions is through a surgical procedure called"adhesiolysis."  The adhesiolysisprocedure may involve cuttingand releasing the adhesions during a laparoscopy procedure or treating theadhesions during a laparotomy.

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