What causes adhesions to form?
Adhesions form as the result of the following common gynecologic
Surgical Treatment of Endometriosis: Endometriosis is a disease in which patches of endometrial tissue - the mucous membrane that lines the inside of the uterus - become implanted outside the uterus. Endometriosis often occurs in the pelvis and abdomen and can be associated with severe inflammation and dense adhesions. The abnormal tissue is removed through surgery.
Myomectomy is the removal of fibroids from the uterus. Adhesion formation at the incision line on the uterus is a common complication of the procedure.
Adhesiolysis is the removal or surgical separation of adhesions. Ironically, the removal of adhesions can aggravate the healing process, thereby leading to the formation of new adhesions.
Reconstructive Tubal Surgery: The repair of blocked fallopian tubes is a delicate procedure that often includes the removal of existing adhesions. Unfortunately, the surgery itself can lead to the formation of new adhesions.
Adhesions also are a common occurrence in women who suffer from pelvic inflammatory disease (PID) and sexually transmitted diseases.
Factors that contribute to the cause of adhesions include the
Ischemia: During surgery, blood flow is often disrupted as a result of tissue cutting, blood clotting or tying of stitches. This may result in ischemia, or reduction of blood flow to the tissues, therefore contributing to adhesion formation.
Foreign Bodies: Foreign bodies include stitches, lint from sponges or talc from surgical gloves. Foreign bodies can cause an inflammatory reaction in the body and can trigger adhesion formation.
Inflammation: Endometriosis and PID can cause inflammation, which can result in adhesion formation.
How are adhesions diagnosed?
How are adhesions treated?