Laparoscopic Adhesiolysis Surgery cost in India

Know More About Procedure & Surgery

Laparoscopic adhesiolysis surgery is a minimally invasive surgical procedure used to treat adhesions, which are bands of scar tissue that form between abdominal tissues and organs. Adhesions can develop as a result of previous surgeries, abdominal infections, inflammation, or trauma, and they may cause symptoms such as abdominal pain, bowel obstruction, or infertility. Laparoscopic adhesiolysis aims to release or remove these adhesions to relieve symptoms and restore normal function.

Symptoms of an intestinal obstruction include:

• Abdominal pain
• Abdominal distension
• Vomiting
• Not having passed stools or wind for more than 2 days.
• You may also want to have a regular check up if you have any of the following complaints:

Frequent episodes of stomach cramps

• Reduced appetite, frequent vomiting or nausea (sensation of vomiting)
• Difficulty in passing stools
• Hard stools
• Incomplete voiding of stools
• Frequent diarrhoea and bloating
• Dependence on laxatives to open bowels
• Unsatisfactory recovery over weeks and months, even after medical therapy.

Here's an overview of how laparoscopic adhesiolysis surgery is typically performed:

1. Preoperative Evaluation:

• Before the surgery, the patient undergoes a thorough evaluation, including medical history review, physical examination, and possibly imaging studies (such as CT scans or MRI scans) to assess the extent and location of adhesions.

2. Anesthesia:

• General anesthesia is administered to ensure the patient is unconscious and pain-free during the procedure.

3. Placement of Trocars:

• The patient is positioned on the operating table, and small incisions (usually 0.5 to 1 cm in length) are made in the abdomen.
• Trocars (hollow tubes) are inserted through these incisions to provide access for the laparoscopic instruments and camera.

4. Visualization of the Abdominal Cavity:

• A laparoscope (a thin, flexible tube with a camera and light source) is inserted through one of the trocars to visualize the abdominal cavity.
• Carbon dioxide gas is pumped into the abdomen to inflate it, creating space for the surgeon to work.

5. Identification of Adhesions:

• The surgeon carefully examines the abdominal organs and tissues, identifying the location and extent of adhesions.
• Adhesions may be filmy or dense, and they can occur between various organs, such as the intestines, uterus, ovaries, bladder, or abdominal wall.

6. Adhesiolysis:

• Using specialized laparoscopic instruments, the surgeon gently separates and releases the adhesions, allowing the affected tissues and organs to move freely.
• Adhesiolysis may involve cutting, dissecting, or cauterizing (sealing with heat) the adhesions, depending on their nature and location.

7. Hemostasis and Inspection:

• Any bleeding from the adhesiolysis sites is controlled using electrocautery or other hemostatic techniques.
• The surgeon thoroughly inspects the abdominal cavity to ensure that all adhesions have been adequately addressed.

8. Closure:

• After completing the adhesiolysis, the laparoscopic instruments and trocars are removed from the abdomen.
• The small incisions are closed with sutures or adhesive strips.

9. Postoperative Care:

• After the surgery, the patient is monitored in the recovery room and may be discharged home the same day or after a short hospital stay.
• Pain management, wound care, and instructions for postoperative activity and diet are provided.

Laparoscopic adhesiolysis offers several potential benefits compared to traditional open surgery, including smaller incisions, reduced postoperative pain, shorter hospital stays, and faster recovery times. However, as with any surgical procedure, there are risks and potential complications, which should be discussed with the healthcare provider prior to surgery. Additionally, the success of laparoscopic adhesiolysis depends on factors such as the extent and severity of adhesions and the underlying cause of adhesion formation.

Here are some frequently asked questions (FAQs) about laparoscopic adhesiolysis surgery:

1. What is laparoscopic adhesiolysis surgery?

• Laparoscopic adhesiolysis surgery is a minimally invasive procedure used to treat adhesions, which are bands of scar tissue that form between abdominal tissues and organs. The surgery involves using small incisions and specialized instruments to release or remove the adhesions.

2. What are adhesions, and what causes them?

• Adhesions are bands of scar tissue that form between abdominal tissues and organs. They can develop as a result of previous surgeries, abdominal infections, inflammation, trauma, or conditions such as endometriosis. Adhesions can cause symptoms such as abdominal pain, bowel obstruction, or infertility.

3. How is laparoscopic adhesiolysis surgery performed?

• During laparoscopic adhesiolysis surgery, the patient is placed under general anesthesia, and small incisions are made in the abdomen. A laparoscope (a thin, flexible tube with a camera) and specialized instruments are inserted through these incisions to visualize and dissect the adhesions. The surgeon gently separates and releases the adhesions, allowing the affected tissues and organs to move freely.

4. What are the benefits of laparoscopic adhesiolysis surgery?

• Laparoscopic adhesiolysis offers several benefits compared to traditional open surgery, including smaller incisions, reduced postoperative pain, shorter hospital stays, faster recovery times, and potentially lower risk of complications such as infection and hernia formation.

5. Who is a candidate for laparoscopic adhesiolysis surgery?

• Candidates for laparoscopic adhesiolysis surgery are individuals who have symptoms related to adhesions, such as abdominal pain, bowel obstruction, or infertility. The decision to undergo surgery depends on factors such as the severity of symptoms, the extent and location of adhesions, and the individual's overall health.

6. What are the risks and potential complications of laparoscopic adhesiolysis surgery?

• Like any surgical procedure, laparoscopic adhesiolysis surgery carries risks, including bleeding, infection, injury to nearby organs or structures, anesthesia complications, and recurrence of adhesions. The specific risks depend on factors such as the patient's overall health, the extent of adhesions, and the complexity of the surgery.

7. What is the recovery process like after laparoscopic adhesiolysis surgery?

• After laparoscopic adhesiolysis surgery, patients typically experience a shorter recovery period compared to traditional open surgery. Pain and discomfort are managed with medication, and patients are encouraged to gradually resume normal activities as tolerated. The healthcare team provides instructions for postoperative care, including wound care, activity restrictions, and follow-up appointments.

8. How successful is laparoscopic adhesiolysis surgery in relieving symptoms?

• The success of laparoscopic adhesiolysis surgery depends on factors such as the extent and severity of adhesions, the underlying cause of adhesion formation, and the individual patient's response to treatment. In many cases, laparoscopic adhesiolysis can provide significant relief of symptoms and improve quality of life for patients affected by adhesions.

It's important for individuals considering laparoscopic adhesiolysis surgery to discuss the potential risks, benefits, and alternatives with their healthcare provider and to have realistic expectations about the outcomes of the procedure.

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