Pelvic adhesiolysis is a process of surgery in which adhesions in the pelvis are either removed or dissolved. Such problems occur when tissues in the pelvis stick together abnormally. Binding of the scar tissue can cause pain, discomfort, and complications during fertility in women. Growth of abnormal tissue can develop anywhere in the pelvic cavity. This might vary in size, stiffness, and composition.

Pelvic adhesions may affect other body parts in or around the surface of the pelvic. It may affect various areas, such as the uterus, ovaries, fallopian tubes, or bladder. The main goal of the adhesiolysis is to relieve symptoms, such as pelvic pain and infertility, and to improve the overall quality of life for patients with adhesions. Advanced minimally invasive surgery is being used more and more to treat this condition. Because it involves smaller incisions, which reduces pain, post-operative complications, and the risk of recurrent adhesions.

Types of Pelvic Adhesiolysis Treatment

There are multiple types of this treatment. These are listed below:

1. Laparoscopic

This is also known as keyhole surgery. In this process, a surgeon makes a small cut in the stomach with the use of a laparoscope and bonding of tissue is removed.

2. Open surgery

In this case, a single cut is made through the midline of the body.

3. Hysteroscopic

A surgery that removes bonding of tissue from inside the uterus.

4. Epidural

A process that destroys stiff fibrotic material bonds that can cause nerve irritation during spine surgery.

5. Peritoneal

An operation that destroys fixing between various organs and the inner layer of the abdominal wall.

6. Adnexal

These growths are close to the uterus or ovaries that can be surgically removed.

Causes of Pelvic Adhesions

a) Infection

Pelvic inflammatory disease caused by STIs.
Tuberculosis from the patients who are living in the nearby area.
ill health conditions, such as appendicitis or peritonitis, which can lead to adhesion formation.

b) Surgical

Incomplete excision of endometriosis.
C-section surgery.
Removal of ovarian cysts.

c) Chronic condition

Polycystic ovary disorder.
Irritable bowel syndrome or inflammatory bowel disease.
Endometriosis.

d) Other causes

Radiation therapy for cancer.
Peritoneal dialysis for kidney failure.
Incomplete healing or inflammation after surgery.

Symptoms of Pelvic Adhesions

This can cause a range of indications which depends on the severity of the condition. Some of the common features related to this ill health condition are listed below:

Pain in the stomach or pelvis area.
This could lead to hormonal imbalances.
Irregular menstrual periods.
Bowel obstruction or compression.
Pain during sexual intercourse.
Infertility.
Difficulty in getting pregnant.

Cost of Pelvic Adhesiolysis in India

India has now become a preferable destination for this process. The country is known for the availability of advanced medical infrastructure and experienced surgeons. Apart from this, it also offers excellent treatment for pelvic adhesions, utilizing the latest surgical techniques, such as laparoscopy.

The country is home to highly skilled doctors with ultra-modern facilities. And make sure patients receive the best care possible. The price of pelvic adhesiolysis in India can vary depending on the city, the hospital or clinic, and the quality of the process.

Diagnosis of Pelvic Adhesions

a) Medical history

Patients should discuss with their doctor if there is any medical history and symptoms.

b) Physical examination

A proper checkup is performed to assess abdominal and pelvic tenderness, masses, or other abnormalities.

c) Diagnostic test

Blood tests

Ultrasounds

CT scans

MRIs

X-rays

Procedure of Pelvic Adhesiolysis

Before the Process

Medical evaluation

To determine any possible dangers or consequences and to evaluate your general health. For this, a comprehensive medical evaluation will be carried out.

Preoperative instructions

Before the activity, you might be told to refrain from eating or drinking for a certain amount of time.

Consent and conversation

The patient can talk about the procedure’s advantages, possible drawbacks, and alternate forms of treatment. The procedure will be performed with consent.

Preparation

You will be asked to wear a hospital gown.
The medical staff will start an IV in your arm or wrist. For giving medicine or fluids during the surgery.
This surgery works under general anesthesia. It ensures that the patient remains asleep and does not feel any pain during the procedure.

During the Procedure

The doctor will make small cuts on your stomach.
The patient will administer gas to inflate the stomach and the doctor can look inside clearly.
From the one cut, the surgeon will insert a thin, long tube with a camera. With the help of this, a specialist can see an internal organ on a screen.
Once the adhesion is located, then the surgeon will insert a small instrument through the other cut.
And then the doctor will cut out the adhesion from the affected organ.
At last, the surgeon will remove all the instruments from the cuts and close the incisions with adhesive strips or stitches.

After the Procedure

The operation takes around one to three hours.
Then the patient will be shifted to the recovery room.
Once the patient feels better, he or she can start walking.
To treat postoperative discomfort, your doctor will prescribe the appropriate painkillers.

Precautions To Be Taken After the Surgery

Try to keep the operated area covered with proper bandages.
Patients are advised to take their routine medications.
A fiber rich diet and plenty of water should be taken.
People should avoid carrying heavy weights.
Twice daily, apply ice for fifteen to twenty minutes. The patient will no longer experience recurrent discomfort as a result.

Pelvic Adhesiolysis Treatment