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Pelvic Adhesions

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Acute

What is Pelvic Adhesive?

Pelvic adhesive disease is quite common, defined as a condition that occurs when adhesions or scarring bind adjacent organs together. Pelvic adhesions may affect other organs in or near the pelvic region such as uterus, ovaries, fallopian tubes, or bladder..

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  • Chronic pain
  • Infertility
  • Bowel obstruction and an inability to pass gas
  • Urinary bladder dysfunction
  • Pain and difficulty having a bowel movement
  • Pain on movement such as walking, sitting, or lying in certain positions
  • Emotional disorders such as depression, thoughts of suicide, or hopelessness

Adhesions can affect the female reproductive organs (ovaries, fallopian tubes), the bowel, the area around the heart, the spine and the hand. They can cause a range of problems including infertility, dyspareunia (painful intercourse), pelvic pain and bowel obstruction or blockage.

Pelvic adhesions can form after a pelvic surgery, such as a C-section, surgery for endometriosis, or removal of an ovarian cyst. They can also form in response to an infection (such as pelvic inflammatory disease) or another condition like endometriosis or appendicitis

Strategies to prevent adhesions. Adhesion-prevention strategies can be broadly categorised into injury minimisation via meticulous surgical technique and reduced tissue trauma, placing a physical barrier between peritoneal surfaces and the use of pharmacological agents to modulate the cellular response to tissue injury

  • Infertility
  • High Risk of Post-Operative Complications
  • High Risk of Complications during Subsequent Surgeries
  • Chronic Pelvic Pain
  • Adhesion-related disorder (ARD)

How is it diagnosed?

How is it diagnosed?

Even though pelvic adhesions are complex, this condition can be successfully treated by advanced minimally invasive surgery performed by well-trained and highly skilled laparoscopic gynecologists. The most important thing is being aware of any suspected signs and symptoms of pelvic adhesions.

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