Adhesive process in the abdominal cavity of a woman: signs and treatment

All organs in the abdominal cavity and small pelvis of the woman (fallopian tubes, uterus, ovaries, rectum, bladder) are covered with a special thin membrane - peritoneum. Its structure is smooth and has no nodes. In the same case, if the inflammatory process begins in the small pelvis (inflammation of the ovaries, uterus, fallopian tubes), which is accompanied by peritonitis, a plaque appears on the surface of the peritoneum, which contains fibrin. This substance is able to glue the surfaces of internal organs with each other, provoking an adhesive process. Thanks to this, a mechanical natural obstacle appears to spread the inflammation in the small pelvis. But the fact is that after the cessation of inflammation, the fusion remains.

Adhesive process, which performed its protective function in cases of peritonitis, further leads to a disruption in the functioning of the internal organs of the small pelvis. Its function is to protect the body against the spread of inflammation throughout the abdominal cavity. Therefore, it turns out that after treatment of peritonitis, it is urgent to begin treatment of adhesions. Only in this case the probability of formation of a large site of fusion is significantly reduced. But if the inflammatory process has become chronic, most likely, the commissural disease of the abdominal cavity without visible symptoms and external signs will begin to develop. In this case, occasionally there are painful sensations in the lower abdomen with cooling, and constipation is sometimes possible.

The main method of therapy of adhesions is laparoscopy. Only this operation allows you to carefully perform very subtle manipulations. Using a laparoscope, the surgeon separates the adhesions, after which they are carefully removed.

The main methods of separation of adhesions are:

• Laser therapy, that is, dissection of fusion with a laser,
• Aquadisection (this procedure is performed with water),
• Electrosurgery is a method in which the adhesive process is dissected by an electron knife.

After the operation, the patient needs to undergo preventive treatment. In order to prevent the emergence of new splices, a number of methods are used.

First, various barrier liquids are introduced into the pelvic cavity.

Secondly, the fallopian tubes and ovaries are enveloped by polymer resorbable films.

Very often after the first operation, a diagnostic diagnostic laparoscopy is prescribed, which must be applied after a couple of months. This is done in order to complete the formation of new adhesions.

In addition, the surgeon usually recommends a special treatment, which is aimed at suppressing inflammation and deposition of fibrin on the surface of the peritoneum. Additionally, funds are allocated that activate the dissolution process.

Traditionally, the adhesive process after the operation is treated this way.

The doctor prescribes the following drugs:

1. Fibrinolytic agents that dissolve fibrin.
2. Anticoagulants that interfere with the process of blood clotting.
3. Antibiotics and anti-inflammatory drugs.

But medical practice shows that the treatment scheme will be selected individually in all specific cases.

Quite often, even laparoscopy does not guarantee that all problems associated with therapy of this pathology will be resolved.

The fact is that with the help of such an operation and the above treatment, the fallopian tubes and ovaries are released from adhesions. But the process of restoring their internal structure and functioning is impossible. Therefore, after the procedure of laparoscopy, women have to resort to in vitro fertilization (IVF) to conceive a child.