Peritoneal adhesions - what does this mean
Peritoneal adhesions are caused by the formation of fibrous tissue between the abdominal organs and the abdominal wall. this occurs due to inflammation or infection in the abdominal cavity, resulting in the organs adhering to each other or to the abdominal wall. surgery, endometriosis, and pelvic inflammatory disease can also cause peritoneal adhesions.
What happens during the disease - peritoneal adhesions
Peritoneal adhesions are caused by a variety of factors, including abdominal or pelvic surgery, infection, endometriosis, intra-abdominal inflammation, and trauma. these factors create an inflammatory response that leads to a release of cytokines and other inflammatory mediators, which causes the mesothelial cells of the peritoneum to become activated and secrete extracellular matrix proteins that promote the formation of adhesions. the adhesions can be further exacerbated by the presence of fibrin and scar tissue, leading to the formation of a web-like structure that binds tissues together.
Treatment and Medical Assistance
Main goal of the treatment: To reduce the risk of recurrent adhesions and improve the patient's quality of life.
- Implementing preventive measures to reduce the risk of recurrent adhesions
- Administering anti-inflammatory medications
- Performing laparoscopic surgery to remove the adhesions
- Giving pain medications to reduce discomfort
- Using intraperitoneal adhesion barriers
- Using a combination of laparoscopic and open surgery
- Administering antibiotics to treat any underlying infection
- Prescribing physical therapy to improve mobility
14 Days of Hospitalization Required
Average Time for Outpatient Care Not Established
Peritoneal adhesions - Prevention
Peritoneal adhesions can be prevented by avoiding unnecessary abdominal or pelvic surgery, minimizing the use of intra-abdominal drains, using techniques to minimize trauma to the peritoneal surface, and using anti-adhesive agents such as hyaluronic acid or polyethylene glycol during surgery.