The basic types of adhesions are:

• Pelvic Adhesions : can affect any of the organs within the pelvis, including the uterus, ovaries, fallopian tubes, bladder and they occur usually after a surgery. Fallopian adhesions can cause infertility and also increase the chance of ectopic pregnancy where the foetus develops outside the uterus. Some of the other diseases related to this are:

Pelvic Inflammatory Disease : occurs from an infection leading to adhesions within the fallopian tubes.
Endometriosis : is caused by pelvic adhesions where tissues that usually grow within the uterus are found in other parts of the body, like the bowel or fallopian tubes.

• Abdominal Adhesions : usually form within the first few days after surgery. It restricts movement of the small intestines. It also makes it difficult for food to pass through the digestive system.

• Heart Adhesions : are scar tissues that form within the pericardial sac or the membranes that surround the heart. This restricts the functioning of the heart. Rheumatic fever can lead to adhesions to form on the heart valves decreasing the heart’s efficiency.

Adhesions are diagnosed depending on their clinical symptoms. Some of the diagnostic tests include,

• X-Rays will help in revealing the small obstructions that are caused by adhesions.

• Examining inside the body can be done with various scopes like

Endoscope
Colonoscope
Hysteroscope
Proctoscope
Sigmoidoscope

• MRI is also helpful in some cases.

• Laparoscopy is the best option to explore and visualise for determining a definitive diagnosis.

Adhesiolysis It is a medical procedure that is performed to remove or divide the adhesions to restore normal anatomy and functioning of the organs. Adhesiolysisis a scar tissue removal procedure which can also help relieve painful symptoms. The doctor usually opts for the laparoscopy surgical technique, which is also called Laparoscopic Adhesiolysis for adhesion treatment. It was first used for small-bowel obstruction. It offers the following:

Less operative pain
Decreased chances of a hernia
Recovery time is reduced
Shorter hospital stay

Procedure: The doctor creates a couple of tiny incisions. A laparoscope is a thin, flexible cable with a camera is inserted through one of the incisions to view the presence of the adhesion. The adhesions are then cut and released using tiny surgical instruments and viewed through the video monitor.