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Adhesiolysis

Discussion in 'All Categories' started by Suman - Jul 28th, 2025 9:34 am.
Suman	I had an ultrasound done and it showed Adhesiolysis along with Fibroids. Please tell me about Adhesiolysis.
re: Adhesiolysis by Dr. B. S. Bhalla - Jul 28th, 2025 9:36 am #1
Dr. B. S. Bhalla	Adhesiolysis is a surgical procedure performed to remove adhesions—bands of scar-like tissue that form between organs or tissues, often after surgery, infection, or inflammation. These adhesions can cause organs to stick together abnormally, leading to pain, infertility, or bowel obstruction. When associated with fibroids (non-cancerous growths in the uterus), adhesiolysis may be necessary if these fibroids are contributing to the formation of adhesions or complicating other symptoms. In your case, the ultrasound showing both fibroids and the need for adhesiolysis suggests that you may be experiencing pelvic discomfort, menstrual irregularities, or fertility issues. Adhesions can distort the pelvic anatomy, interfere with the fallopian tubes, and sometimes cause chronic pelvic pain. If fibroids are large or multiple, they can increase the risk of adhesion formation, especially if prior surgery (like myomectomy or C-section) was involved. Adhesiolysis is usually done laparoscopically (minimally invasive) or via open surgery, depending on the severity and location of the adhesions. The surgeon carefully dissects the scar tissue to restore normal organ mobility. When combined with fibroid removal (myomectomy), the goal is to alleviate symptoms, improve reproductive outcomes, and enhance overall pelvic health. If you're planning pregnancy, adhesiolysis can improve fertility outcomes, especially if tubal adhesions are involved. Pre-surgical imaging (MRI or hysteroscopy) may help assess the extent of adhesions and fibroid location. Post-surgery, your doctor may prescribe anti-inflammatory medication or hormonal therapy to reduce the risk of new adhesions forming. Follow up regularly after surgery, and maintain a healthy lifestyle to support healing. Please consult your gynecologist or surgeon to evaluate your symptoms, understand the surgical plan in detail, and discuss whether laparoscopic adhesiolysis with fibroid management is the most suitable option for you.