Pelvic Adhesions (scar tissue)
Adhesions are bands of scar tissue that can cause internal organs to be stuck together when they are not supposed to be. Most frequently, adhesions are the result of previous surgery, but some can occur following pelvic infection, and many times they accompany more severe stages of endometriosis. When adhesions are dense, or restrict the convention movements of home organs like the bowels, pain can result. uncommonly, adhesions can cause blockage of the bowels ( intestinal obstruction ) .
Adhesions, when they are involved in causing trouble, are normally deliver along with some other disease process that can cause pain, such as excitable intestine syndrome ( IBS ) or endometriosis. They may signal their bearing by aggravating the symptoms of IBS or by causing pain during sexual intercourse. unfortunately, diagnosing the presence of pelvic adhesions is difficult. Except in extreme cases, an examining doctor can not feel them during a pelvic examination, and tests like sonography, MRI scans, and CT scans do not detect them very often. This means that a thorough history and a pelvic examination by a doctor experienced in evaluating annoyance problems are the best tools for detecting their presence .
When it seems probable that adhesions may be crucial, then a laparoscopy can be done to see them, and the adhesions can much be removed during the like laparoscopic routine. There are several cautions here.
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Reading: Pelvic Adhesions (scar tissue)
first, laparoscopic discussion of adhesions is most safely and effectively done by laparoscopic surgeons specially trained and experienced in performing this type of operating room. Except in rare cases, it is not thought to be useful to perform a laparotomy ( large afford incision ) in order to treat adhesions, because they a lot more much re-grow after open operation .
Second, fair because adhesions are deliver doesn ’ t mean they are the cause of pain ! It much takes the clinical experience of physicians trained in the evaluation of pain to know when surgical treatment of adhesions is likely to be helpful, and when it is not. When operation for adhesions is done, it works best when combined with an overall overture to all the components of an individual trouble .
In the Pelvic Pain Clinic at UNC, the staff have over 20 years of experience as a referral kernel in evaluating chronic pelvic pain, and in performing high horizontal surface laparoscopic operating room for adhesive disease. Our safety record in these cases is unmatched in the department of state. We combine surgical treatment with multiple other avenues of pain management and treatment, such as forcible therapy, diet and exert, stress reduction techniques, rede, and medicine management .