Adhesiolysis means cutting and releasing adhesions (scar tissue). The tissue reaction to any injury such as infection or surgery is known as inflammation. Scar tissue (Adhesions) may form between different organs/tissues as a result of inflammation. This can distort the normal anatomy, block some tissue spaces and make some organs stuck together.
Most adhesions are only diagnosed at the time of surgery and look like cobweb. Adhesions can involve the uterus, ovaries, fallopian tubes, bowel and/or bladder and can be this or thick. Adhesions may not cause any symptoms but can also lead to chronic pelvic pain, infertility, pain during intercourse (deep dyspareunia) and bowel obstruction.
Adhesiolysis can be carried out either by laparoscopy (keyhole surgery) or laparotomy (making a cut in the abdomen). Laparoscopy is preferred as it appears to be associated with a lower rate of recurrence of adhesions. At the end of the operation, barriers can be inserted to reduce the risk of recurrence of adhesions.