Adhesiolysis

Adhesiolysis is surgery that cuts and releases adhesions, bands of scar tissue inside the pelvis. Adhesions can form after inflammation, past surgery, or infection. They can bind organs together and pull them out of their normal position. They can wrap around or block the fallopian tubes. They can contribute to chronic pelvic pain and to difficulty conceiving. Adhesiolysis releases the organs so they can rest and move in their normal positions again.

Surgeons most often perform adhesiolysis through laparoscopy, surgery through small incisions with a camera. The surgeon identifies each band and divides it. Thin, filmy bands often separate easily. Thick, dense bands require careful cutting with fine instruments. Control of bleeding is important. Raw, bleeding surfaces can stick together and form new adhesions.¹

Adhesions can re-form after pelvic surgery. Surgeons work to lower that risk. They handle tissue gently and control bleeding with care. They limit injury to the peritoneum, the thin lining of the pelvis. Some surgeons place a barrier material over raw surfaces at the end of surgery. Together, these steps form the basis of near-adhesion-free reconstructive pelvic surgery.¹

Adhesiolysis is often performed during other restorative pelvic surgery. Examples include excision of endometriosis, removal of fibroids (myomectomy), and repair of the fallopian tubes. The goal is to restore normal pelvic anatomy. Normal anatomy gives the body a better foundation for healthy function. For couples who hope to conceive, it also gives a better foundation for fertility.