Laparoscopic adhesiolysis (dissection of pelvic adhesions)
Life without pain: modern treatment of adhesive disease
Adhesions (synechiae) are internal scars made of connective tissue that literally “glue” internal organs together (intestines, uterus, ovaries, fallopian tubes). This leads to disruption of their normal function, development of infertility, and constant pelvic pain. At St. Luke’s Clinic, we successfully treat adhesive disease using laparoscopic adhesiolysis — a minimally invasive surgery for precise dissection of adhesions through mini-punctures.
Why do adhesions form and what are their dangers?
The adhesive process is a protective reaction of the body, but it can get out of control. Most often, adhesions occur after:
Previous surgical interventions (especially open abdominal surgeries, cesarean section, appendectomy).
Past inflammatory diseases of the pelvic organs (endometritis, salpingo-oophoritis).
Progressive endometriosis.
The main danger of adhesions is that they can change the anatomy of organs. For example, if adhesions compress the fallopian tube, tubal infertility or a high risk of ectopic pregnancy occurs. In addition, tissue tension causes chronic pelvic pain, which exhausts the patient for years and is not relieved by painkillers.
Advantages of laparoscopic adhesiolysis
Previously, a large incision was made to remove adhesions, which itself provoked the formation of new adhesions. Today, laparoscopy has broken this vicious circle.
Minimal trauma: Instruments are inserted through 3–4 punctures (up to 1 cm). There is no contact of tissues with air and surgical gloves, which minimizes the risk of recurrence.
Maximum precision: A high-resolution video camera magnifies the image tenfold. The surgeon clearly sees the boundaries between organs and adhesions, carefully dissecting only the pathological tissue.
Use of anti-adhesion barriers: If necessary, during the operation, doctors at St. Luke’s Clinic use special anti-adhesion gels that cover the organs with a protective film and prevent them from re-adhering during the healing phase.
How the operation and recovery proceed
Diagnosis and treatment “2 in 1”: Adhesions are very difficult to see on a regular ultrasound. Often, laparoscopy begins as diagnostic (to find the cause of pain), and upon detecting adhesions, the surgeon immediately proceeds to dissect them (adhesiolysis).
Anesthesia: The intervention is performed under general medical sleep, completely painlessly for the patient.
Rehabilitation: Due to its minimally invasive nature, patients can get up within a few hours after surgery. Most return home on the 1st or 2nd day.
Treatment outcome
After successful adhesiolysis at St. Luke’s Clinic, the normal anatomical position of the organs is restored, chronic pain disappears, and bowel function normalizes. For women of reproductive age, the most important result is the restoration of fallopian tube patency and the return of the ability to conceive naturally.
Do not suffer from chronic pain. Schedule a consultation with leading gynecological surgeons at St. Luke’s Clinic for accurate diagnosis and effective treatment.
