Adhesiolysis

By RRM Academy Reviewed by Dr. Naomi Whittaker, MD, Board-Certified OBGYN, MIGS, NFPMC, FCI Updated May 14, 2026

Adhesiolysis is the surgical division and removal of adhesions: bands of scar tissue that form between pelvic organs and surfaces following inflammation, prior surgery, or infection. Adhesions can distort pelvic anatomy, restrict organ mobility, occlude the fallopian tubes, and contribute to chronic pelvic pain and infertility. Adhesiolysis restores normal anatomical relationships by carefully separating and excising these fibrous attachments.

The procedure is performed under direct visualization, most commonly via laparoscopy. The surgeon identifies and divides adhesive bands, distinguishing between filmy adhesions that separate easily and dense fibrous adhesions requiring sharp dissection. Careful hemostasis during lysis is critical: bleeding surfaces promote new adhesion formation, creating a cycle that careful surgical technique aims to interrupt.¹

Adhesion reformation is a recognized challenge after pelvic surgery. Techniques developed to minimize it include meticulous tissue handling, thorough hemostasis, reduction of peritoneal trauma, and the use of anti-adhesion barrier materials placed at the close of surgery. This combined approach forms the basis of near-adhesion-free reconstructive pelvic surgery.¹

Adhesiolysis is frequently performed alongside other restorative pelvic procedures: excision of endometriosis, myomectomy, tubal reconstruction, or correction of anatomical defects. The goal is not simply to lyse scar tissue but to restore normal pelvic anatomy as a foundation for improved function and, where indicated, fertility.

This content is for educational purposes only and does not constitute medical advice. Consult an RRM clinician or healthcare provider for guidance specific to your situation.