Laparoscopy of adhesions in the pelvis: causes, treatment, recovery
Adhesions in the pelvis is a pathological condition in which various internal organs are fused, are connected to each other or to a certain section of the abdomen. In recent decades the incidence of diagnosis of adhesions in the pelvic area increased significantly, and therefore, at the forefront of treatment of adhesive disease.
The main reasons for the development of adhesions in the pelvis
What are adhesions in the pelvis and what causes their appearance? As mentioned above, adhesions in the pelvis is the process of splicing in different tissues of the internal organs, which is considered pathological and impairs normal functioning and mobility of internal organs. Adhesions of the small pelvis accompanied by the appearance on the surface of the abdominal cavity and internal organs of seals, consisting of connective tissue. Such seals prevent the normal functioning of internal organs of small pelvis, therefore, they require serious treatment.
The development of adhesions can cause:
- A difficult birth, abortion and other surgery in the abdominal cavity.
- Common cause of development of adhesive disease in the pelvic area is considered a caesarean section, cauterizing the uterus and other operations on the reproductive organs.
- In some cases, cause the development of adhesions in the pelvic organs can become inflammatory disease of internal genitals. Most often we are talking about such common gynecological and sexually transmitted diseases like gonorrhea or chlamydia, parametritis, metroendometrit.
- One of the most common causes of adhesions in the pelvis is endometriosis.
Adhesive disease of the pelvic organs can occur in both acute and in the chronic form. But regardless of the type of the disease, adhesions requires serious treatment, as it can carry the most severe and adverse consequences to the female body.
Treatment of adhesions in the pelvis
As a rule, treatment of adhesions in the pelvic area depends entirely on the type, stage and severity of the disease. By far the most popular treatment option is laparoscopy. This surgical technique allowing to remove the adhesive nodes without direct penetration into the abdominal cavity.
Laparoscopy is performed under General anesthesia. The procedure surgical treatment is the following the surgeon makes 3 or 4 small incisions on the abdominal wall, the diameter of which does not exceed 2 cm In one of the holes, we introduce a special surgical instrument, a laparoscope, a thin metal tube with a tiny video camera and a complex optical system, which is used for deducing the image on the screen. Thanks to the video camera the surgeon can see all of the organs of abdominal cavity and small pelvis.
In one of the holes is fed carbon dioxide, which greatly improves the visualization of internal organs and widens the operational space. In other holes, enter all the necessary surgical tools and excision of adhesions. In conclusion, all openings are closed with stitches.
In the treatment of adhesive disease modern medicine prefers laparoscopy. This is due to the fact that after conservative surgical intervention with penetration into peritoneal cavity possible re-emergence of adhesions. After the treatment of laparoscopic method, the risk of re-occurrence of adhesions is far lower. In addition, laparoscopy is a small degree of trauma and a short rehabilitation.
Recovery after laparoscopy
Recovery after the removal of adhesions laparoscopically begins in the recovery room. 3-4 hours after the surgery when the patient has fully recovered from anesthesia, allowed to get out of bed and walk a bit around the ward. Movement is necessary in order to prevent re-development of adhesive disease.
In the first days after the procedure possible pain in the pelvic area. Usually the pain is not very pronounced and completely disappear 2-3 days after laparoscopy. If painful feelings are strong, your doctor may prescribe the woman pain medication.
On the first day after the surgical removal of adhesions is allowed to drink only non-carbonated water, fruit drinks and compotes. From eating better to give up. On the second day you can eat mashed potatoes, low-fat soups, jelly. A normal meal should be introduced into your diet gradually. Need to eat often, small portions. For 1-2 months after was performed laparoscopy, should be excluded from the menu fatty, spicy, sour foods, strong coffee, sweets and confectionery, fresh baking, sodas and alcohol.
The postoperative period
What rules should be followed after laparoscopy of adhesions in the pelvis?
- Laparoscopy is less traumatic operative technique, but after her abdominal stay sutures. The first 10-14 days after the procedure must be carefully treated seams with a special antiseptic solutions. As a rule, the sutures are removed 7-10 days after laparoscopy, but after that for about a week, it is recommended to continue the antiseptic treatment of joints.
- In order to prevent adhesions need to regularly move the perfect solution is a leisurely walking in the fresh air. Sudden movements are completely excluded. Any physical activity should be restricted, including lifting of various weights.
- Depending on the complexity of the operation, and the sexual life can return in 4-8 weeks. About the duration of sexual rest is necessary to consult a doctor.
- Recovery after laparoscopic surgery is recommended to complement the physiotherapy and physical therapy.
Adhesions in women require urgent attention, as this condition can entail the most serious consequences in the form of pain in the affected organs, and infertility. Therefore, the treatment of adhesions should be treated with the utmost care.