What Is Adhesiolysis for Intestinal Adhesions?

Adhesiolysis is a surgical procedure designed to treat intestinal adhesions, a condition where the intestines become abnormally connected to other sections of the intestine or to the abdominal lining. These adhesions can alter the natural positioning of the bowel, potentially causing kinks or twists that lead to bowel obstruction. Most cases of intestinal adhesions develop as a result of abdominal infections, injuries, or previous abdominal surgeries.

Understanding the Procedure

During an adhesiolysis procedure, surgeons carefully separate the adhered tissues using specialized instruments. The goal is to restore the intestines to their normal anatomical position, thereby relieving symptoms such as pain, bloating, and digestive issues. This procedure is typically considered when the affected bowel segments are still healthy and viable.

When Is Bowel Resection Necessary?

It's important to note that if the intestinal tissue has already suffered from reduced blood flow (ischemia) or has begun to die (necrosis), simple separation of the adhesions may not be sufficient. In such cases, a more extensive procedure involving resection of the damaged intestine and reconnection of the healthy ends—known as an enterectomy with anastomosis—may be required.

Non-Surgical Treatment Options

In many instances, doctors will first recommend conservative treatments for intestinal adhesions. These may include the use of specific herbal remedies or encouraging physical activity to help naturally break up the adhesions. However, if symptoms persist and non-invasive methods prove ineffective, surgical intervention becomes a necessary next step.

Choosing the Right Treatment Approach

The decision to proceed with surgery depends on the severity of the adhesions, the presence of complications like bowel obstruction, and the overall health of the patient. Early diagnosis and appropriate treatment planning are crucial for achieving the best possible outcomes.