Adhesions After Surgery: Do They Require Treatment?

Postoperative adhesions are a common complication following abdominal surgeries. In fact, nearly every patient who undergoes abdominal surgery will develop some degree of intestinal adhesion. During preoperative consultations, doctors routinely inform patients and their families about potential risks, including postoperative adhesions and adhesive bowel obstructions.

Understanding Post-Surgical Adhesions

Adhesions are bands of fibrous tissue that form between organs and tissues as part of the body's natural healing process. Whether it's the healing of an incision or the reconnection of hollow organs after removal, tissue adhesion plays a crucial role in recovery. In many cases, these adhesions do not cause any issues and do not require medical intervention.

When Adhesions Become a Problem

While many adhesions remain asymptomatic, some can cause the intestines to twist or kink, obstructing the normal passage of intestinal contents. This condition is known as adhesive small bowel obstruction and can lead to symptoms such as abdominal pain, bloating, nausea, and vomiting. When adhesions interfere with normal bowel function, prompt medical attention is necessary.

Treatment Options for Adhesive Bowel Obstruction

Not all adhesive obstructions require surgical intervention. Mild cases may be managed with bowel rest, intravenous fluids, and close monitoring. However, severe or recurrent obstructions often necessitate surgery to remove the adhesions and restore normal intestinal flow. The decision to proceed with treatment depends on the severity of symptoms and the impact on the patient's quality of life.

In conclusion, while postoperative intestinal adhesions are a normal part of the healing process and often harmless, they can sometimes lead to serious complications like bowel obstruction. Recognizing the signs and seeking timely care can make a significant difference in outcomes.