Postoperative Complications Following Adhesiolysis Surgery

Adhesiolysis surgery, while often necessary to treat intestinal adhesions, can carry several potential postoperative complications. These complications should be carefully considered and monitored during the recovery period.

Recurrence of Intestinal Adhesions

One of the most common complications following adhesiolysis is the recurrence of intestinal adhesions. Surgery itself introduces trauma to the abdominal tissues, which can lead to an inflammatory response in the intestines. This inflammation may result in fibrous exudate, ultimately leading to new adhesions forming between the intestinal loops or other abdominal structures. Despite successful initial separation, the risk of re-adhesion remains significant, especially in patients with a history of multiple abdominal surgeries.

Infections

Abdominal and Wound Infections

Infection is another major concern after adhesiolysis. Abdominal infection, also known as peritonitis, can occur due to contamination during surgery or as a result of postoperative complications. Symptoms may include persistent fever, abdominal pain, nausea, and tenderness around the surgical site. Infections can delay healing and increase the likelihood of further adhesion formation.

Pulmonary Infections

In addition to abdominal and wound infections, patients may also develop pulmonary complications such as pneumonia or bronchitis. These typically occur due to reduced mobility and shallow breathing after surgery, which can lead to mucus buildup in the lungs. Symptoms may include persistent coughing, phlegm production, and low-grade fever. Proper respiratory care and early ambulation are key to preventing these complications.

Preventive Measures and Recovery Tips

To reduce the risk of complications, especially the recurrence of adhesions, it is highly recommended that patients begin light physical activity as soon as medically appropriate. Early mobilization helps stimulate bowel function, improve circulation, and reduce the chances of intestinal segments sticking together again. Additionally, following a healthy diet, staying hydrated, and adhering strictly to postoperative care instructions from the medical team can significantly enhance recovery outcomes.