Spike after laparoscopy
author: doctor Kuznetsov MA
Adhesive disease is a condition in which connective tissue tissues are formed between the internal organs of the abdominal cavity. Adhesive disease can develop for various reasons, including with laparoscopy, especially when it was not only of a diagnostic nature.
Causes of adhesions after laparoscopy
First of all, the commissural disease develops against a background of chronic inflammation caused by various pathogens. Infection can penetrate in many ways - non-sterile equipment, improper skin treatment or preparation (not shaving hair), and possible spread of pathogens from one place to another in case of organ damage.
If laparoscopy was originally performed with the aim of eliminating adhesions, the infection could spread both with the help of a laparoscope, and because of the increase in inflammation.
There are predisposing factors in which laparoscopy only provoked inflammation, which was already ripening due to: the use of the uterine spiral, numerous abortions, sexual infections (chlamydia, trichomoniasis and gonorrhea) provoke the adhesions of the fallopian tubes in women.
Laparoscopy could be performed due to inflammation, for example, with appendicitis, then the adhesion disease is more likely to indicate the consequences of this disease than due to laparoscopy.
Injuries, vascular ruptures during laparoscopy can in themselves lead to inflammation and it is especially dangerous to accumulate outpoured blood with the formation of hematomas. They can become infected, which is likely to lead to spikes.
It is possible that the bleeding was earlier before laparoscopy. Then it is worth taking all measures to get rid of internal hematomas. Similar hemorrhages are observed with ectopic pregnancy and ovarian apoplexy.
The removal of endometrioid growths should be done qualitatively and accurately, otherwise the introduction of such tissue in other places is fraught with a commissural disease.
If you look at the statistics, most of the causes of adhesions are associated with laparoscopic removal of the appendix, operations in the small pelvis and bowel obstruction.
Spikes flow without any symptoms or have a aching or pulling character lasting for a long time. If there is an "acute abdomen" - a condition in which painful sensations increase sharply and are severe in terms of pain - call an ambulance.
Other symptoms of adhesions are intestinal obstruction and infertility in women. As a rule, it is observed in the chronic course of the pathological process and proceeds in a less than symptomatic manner.
Diagnosis of adhesions
Strangely enough, the most effective diagnosis of adhesions in adhesions after laparoscopy is diagnostic laparoscopy. The most important diagnosis of this disease is to understand that ultrasound diagnosis is ineffective. If possible, it is necessary to undergo magnetic resonance imaging or computed tomography. The result may be a commissural disease and without resorting to invasive methods.
If a woman suffers from infertility and there are suspicions of spikes, the gynecologist prescribes a swab from the vagina and then laparoscopy. Before laparoscopy, hysterosalpingography can be prescribed - a study using a contrast medium that is inserted into the uterus, and then an X-ray examination is performed. This procedure allows you to establish obstruction or partial obstruction of the fallopian tubes.
Treatment of adhesions after laparoscopy
Once the location of the adhesions has been established, they begin therapy. There are conservative methods, however, only laparoscopy is effective for the so-called intermittent form of adhesions (when the pains come in sockets and patients are concerned about intestinal obstruction and discomfort in the abdominal region).
If successfully carried out medical measures for an infectious disease, prescribe anti-inflammatory and anti-allergenic drugs. This will suspend the further development of adhesions.
With the development of minor adhesions, the doctor prescribes enzyme therapy - trypsin, chymotrypsin or longidase. They will promote the resorption of small connective-tissue strands. Perhaps these drugs are enough to restore reproductive function or get rid of unwanted symptoms of adhesions.
There are other ways of treatment with the use of internal laser or magnetic-laser treatment, but it is ineffective in chronic forms of the disease.
Treatment with laparoscopy
As already mentioned, laparoscopy is most successful in combating spikes. Apply three methods of treatment:
1) Laser - laser therapy
2) Using aquadisection, when a stream of water is supplied under pressure
3) And with the help of an electric knife
The choice of method of treatment depends on the goals of laparoscopy and the features of the course of the disease. Thus, with the preventive purpose, it is possible to apply a supply of a liquid containing polymeric materials that will gradually dissolve the adhesions or prevent their formation. Read also about an adhesive disease of the abdominal cavity from another doctor.
Meet jawndha: Sir meri laparoscopy huye 7 din ho gye hain. Mere utreus main fiboroid the. Ab mujhe ik stich main bhut pain ho rha hai jb bhi thoda hil jul jui hai. Like Uthte baithte time
Sallu Affu: Mera ovarian drilling aur hysteroscopy hua hi ab 2 months huye ab tak period ni aaya phirse doc ney medicines leno ko kaha
mamta bhoyar: Sir mera 2 month ho gaya he overy cyst ka leparoscoy huye lekin abhi kuch dino se cyst jaha tha waha chubhan si hoti he iske liye kya karna chahiye ye normal bat he kya
Pranati Mahapatro: Hello doctor sir. Recently I have undergone laparoscopy and my ovarian tumor of 630 grams removed by surgery. Can u please guide me how much time it will take for resuming my daily routine work ?
Syed Zubair: Hello doctor . Ihave done my surgery.now still feeling pain in tum during urination or lifiting my self from bed what to do
Mehak Thapa: Hello Dr. I am 32 years old lady.. mera gallbladder me stone tha n uske wjha se acute Pancreatitis bhi ho gya now Mera gallbladder surgery k aaj one week hua hai. Dr mai nonveg like fish mutton chicken kabse start kr skti hu? And pls reply dr. Kya mai olive oil me fried chize le skti hu like pakora n papad? And Pancreatitis k wjha se milk n dairy products avoid krna pdta tha..kya ab surgery k bad cow milk continue kr skti hu?? Pls reply🙏
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