Prevention of adhesions after laparoscopy: tips and advice
Laparoscopy is one of the most common and effective methods of diagnosis and surgical treatment. To date, laparoscopy is widely used for the treatment of numerous diseases of the abdomen and pelvis – surgical treatment is performed with minimal risk to human health, as it eliminates the need for direct, traditional penetration into the abdominal cavity.
The advantages of the laparoscopic method include not only a minimum level of trauma, but also high efficiency operation, no rough scars and scars, short recovery period. But in spite of the numerous advantages of laparoscopy, this technique may have some complications, one of which is adhesions after laparoscopy. What are adhesions and how to prevent their appearance?
What is an adhesive process?
Adhesions represent a seal, consisting of connective tissue. Adhesions is a pathology in which there is a sort of «welding», «splicing» of certain internal organs or tissues, which normally must not be connected. Outwardly the adhesions resemble clear or whitish stripes connecting the neighboring internal organs and disrupts the normal anatomy of the human body.
Adhesions requires urgent treatment immediately after identifying the disease, as adhesions lead to strong changes in the structure of tissues, as well as significant violations of the normal functioning of the vital internal organs. It should be remembered that adhesions of the reproductive organs in the pelvic area can lead to serious, dire consequences, one of which is infertility.
The major causes of adhesions are considered to be surgery on the abdomen or pelvis, and various inflammatory processes.
Adhesions do not have any age – they are with the same frequency can occur in young children and adults. In most cases, adhesions are asymptomatic, but in some cases people may feel pronounced discomfort, pain in the region of adhesions of internal organs. Adhesions can form as after an ordinary abdominal operation, and after a laparoscopy, which is considered one of the most gentle and safest types of surgical treatment.
Prevention of adhesions
An extremely important role in preventing the development of adhesions is given to prevention. Careful observance of the preventive measures will help normal recovery from laparoscopy and prevent the development of adhesions of internal organs.
The most effective prevention measures include:
- A course of physiotherapy.
- Special massage.
- Strict adherence to the diet.
- Recipes of traditional medicine.
- Regular checkups at the doctor.
Medication is one of the most common and effective ways of preventing the development of adhesions. As a rule, for this purpose, after the laparoscopy the patient is prescribed a course of antibiotics and anti-inflammatory drugs, anticoagulants and fibrinolytic medications that aim to destroy the growth cells of a special substance, which acts as the main «building material» for adhesions. Most often drug therapy begins as early as possible – in first hours after laparoscopy. The duration of the course of medication is 2 to 4 weeks after surgery.
Also to prevent the development of adhesions include the introduction of a special barrier of fluids in the abdominal cavity. The main effect of these drugs is a barrier in preventing possible «clumping» of the internal organs, as well as the separation of traumatized surfaces. Simply put, the introduction of barrier solutions does not allow the injured tissues to touch, which eliminates the risk of adhesions.
In the first days and weeks after the surgical intervention an effective tool in the fight against possible adhesion process remain physiotherapy – specific prevention activities, the essence of which is the active effect on the human body of certain physical factors, activating the process of blood circulation and lymphatic drainage.
Among the most effective physical therapy when adhesions are:
- Electrophoresis electrophoresis is a procedure for administering medicines in the area of the abdomen or pelvis with the assistance of an electric field. The maximum effect of electrophoresis is achieved after 10-12 treatments.
- Electrical stimulation – as is clear from the name, the therapeutic effect of this procedure is achieved through the effects on the human body minor electric impulses. The electrical pulses actively act on the injured tissue, improving blood circulation and metabolism, and preventing the growth of fibrin. As mentioned above, that fibrin is the main «building» material for adhesions.
- Ultrasound is the meaning of this procedure lies in the influence of ultrasonic waves on the composition and structure of adhesive tissues, which subsequently stops their development.
- Paraffin and ozocerite application – effective means of prevention of adhesive process. The essence of physiotherapy is the impact of heat on the injured tissue, which subsequently is a slowdown in the adhesive process. But it should be remembered that an application of paraffin and ozokerite is strictly not recommended in the presence of various infectious and inflammatory processes, as under the influence of heat, the development of such processes can be activated.
- Laser therapy – laser therapy on the injured tissue and internal organs by heating. Exactly laser therapy is one of the most effective modern procedures aimed at preventing the development of adhesions.
A very positive result demonstrates the therapeutic massage, which can be an effective auxiliary method of prevention of adhesions. Generally therapeutic massage is frequently supplemented by a course of physiotherapy. But we should remember that therapeutic massage is not a panacea – in some cases, the application of massage events is strictly prohibited. The main contraindications:
- Massage is not carried out in the presence in the body of malignant tumors.
- Contraindication is infection that develops after the procedure, laparoscopy.
- Also therapeutic massage is contraindicated in the presence of various skin diseases or lesions of the epidermis in the abdomen or pelvis.
Physical activity and physiotherapy has a positive effect on the injured tissue, preventing the development of adhesions. After a few hours after the laparoscopy experts recommend to get out of bed and make a smooth, measured movements. Physical activity normalizes blood circulation and hampers the formation of adhesions of internal organs. But with physical activity should be extremely cautious – overly intense exercise can cause weakened body extreme harm.
Prevention of adhesions should be undertaken only under the guidance of a doctor. That is why before performing gymnastic exercises should consult with your treating specialist.
Diet for adhesions after laparoscopy
The most important role in preventing the development of adhesions is given to the diet. Should completely refrain from fatty, fried, spicy food. It is also recommended to exclude from your daily menu following products:
- Need to give up foods that increase gas in the intestines. Such foods include beans, peas and other legumes, cabbage, cherries, pears.
- Not recommended to use whole milk, sodas or mineral water with gas. It is best to prefer weak tea, fruit drinks, fruit drinks, jelly, fresh-squeezed juices and non-carbonated water.
- It is strictly forbidden to consume alcohol in any form, as it contributes to a marked slowdown in the regeneration of damaged tissues. Subsequently the use of alcoholic drinks, the healing process after a laparoscopy can dramatically slow down.
- It is also necessary to abandon the use of fresh grapes, corn, turnip, radish and radish, mushrooms – these foods cause flatulence and flatulence.
- During the recovery period after a laparoscopy is recommended to exclude from your diet any spicy or fatty sauces – mayonnaise, cream, mustard or ketchup.
- You need to completely exclude from your diet all pickled, smoked and canned products.
Your daily menu should be constructed with the following foods:
- Cheese, yogurt, cottage cheese, yogurt and any other dairy products.
- Low-fat vegetable soups and meat broths without fat.
- Lean meat and fish – the best option would be chicken, rabbit, veal. Meat or fish are best boiled or steamed, roasting is not recommended.
- Eggs – of course, within reasonable limits.
- Fresh vegetables and fruits.
- Cereals in any form.
Is recommended often, but in small portions. Usually, the best option would be eating 5-6 times a day.