Reproductive Surgery
Laparoscopic adhesions lysis
Adhesions are scar tissue that develops in the abdomen between the various organs (uterus, intestine, bladder) and lead to the organs being “glued” to each other. Adhesions occur after conventional open surgical procedures, after pelvic gynecological inflammation and following endometriosis. The formation of adhesions varies greatly depending on the susceptibility of each patient and can not be predicted.
Adhesions may be asymptomatic or may cause infertility or pelvic pain.
Lysis of the adhesions created in the abdomen should always be performed laparoscopically, because after laparoscopy there is less tissue reaction and therefore less new adhesions. Depending on the extent of the adhesions, the process may be relatively easy to extensive and technically demanding. It is performed with four small incisions (5-10mm) through which fine manipulations are executed, and the patient leaves hospital the next day.
The reproductive gynecologist should be very careful when deciding which women will benefit from such surgery. Quite often, it is much more effective for a woman to go through IVF than to undergo surgery that may not perform as expected.
