Adhesions are thick or thin bands of scar tissue between adjoining organs and structures. Adhesions are developed as part of the healing process from a previous surgical incision in the abdominal wall, or from a disease or an infection. It occurs as a part of the body's natural repair mechanism as a response to any disturbance to the tissues such as surgery, infections, trauma, radiation or other pathologies such as endometriosis. Adhesions mostly occur in the abdominal area and involve various organs in the area affecting the function of the organ. The adhesion causes fluid accumulation leading to infection and inflammation.

Adhesions occur in the abdominal area and may involve pelvic organs, intestine tissues and ovaries. With pelvic adhesions the symptoms vary depending on the organs and tissues that are involved. Presence of a cyst in the ovary may stretch the adhesions causing pain and pulling sensation. If the intestinal tissues are involved in adhesions the symptoms include severe cramping pain and limit the gut movement. Partial or complete bowel obstruction is caused when a segment of the bowel is tapered by an adhesion. This causes severe pain, nausea and vomiting, constipation and diarrhea.

In more severe cases of adhesions, the entire abdominal cavity along with the reproductive organs and intestines are distorted with adhesions. Large and thick bands of adhesions lead to a frozen state of the abdominal area and require emergency treatment procedure to recover.

Adhesiolysis is a treatment procedure performed to break up and remove the scar tissue. It is performed so that normal anatomy and organ fuction can be restored and painful symptoms can be relieved. The treatment is minimally-invasive and helps treat adhesions that cause chronic pain and inflammation. The procedure is also known as the lysis of adhesions and uses medication to break up scar tissue. Adhesiolysis is used to treat numerous chronic pain conditions, including spinal surgery syndrome, Lumbar and cervical pain and leg pain. Adhesions can cause compression of nerves causing extreme pain and permanent damage to the nerves. Lysis of adhesions removes the scar tissue and release the pressure.

Adhesiolysis is performed as an outpatient procedure. The surgeon administrates a dose of anesthesia to relax the muscles and reduce the pain and discomfort during and after the procedure. The surgeon injects a contrast dye into the area to ensure proper placement of the catheter. A catheter is inserted into the location of adhesions and a combination of medications including saline and hyaluronidase are injected through the catheter to break down the adhesion bands. The surgeon also uses pulsed radiofrequency to promote faster nerve healing. Adhesiolysis takes approximately one to two hours to complete.

Adhesiolysis procedure comes with some risks such as infection, headache, dural puncture, swelling, increasing pain, excessive bleeding, or discharge from the incision site. The doctor provides special instructions and medications that have to be followed without fail to reduce the risk of complication. Antibiotics and medications are prescribed to reduce the chances of infection and to control the pain and discomfort caused by the procedure

Contact Details

Dr. R. Padmakumar
Senior Consultant Laparoscopic and Metabolic Surgeon &
Director - Verwandeln Institute (Transforming Lives)
(Specialist in Laparoscopy, Hernia, Cancer, Obesity, Diabetes Surgery, Endoscopic Thyroid Surgery, Thoracoscopy, Intragastric Balloon)
Keyhole Clinic, Thammanam Road, Plarivattom, Kochi, Kerala, India
VPS Lakeshore Hospital, Maradu, Kochi, Kerala, India
Chairman - Association of Surgeons of India, Kerala Chapter

Mobile: +919447230370, +919846320370


Chairman, Association of Surgeons of India - Kerala Chapter
National President - Indian Hernia Society (2016)
GC Member, Association of Surgeons of India (2013 - 2018)
Vice President- Society of Endoscopic and Laparoscopic Surgeons of India
Jt. Secretary - Indian Association of Endocrine Surgeons (2016)
Founder Member, Obesity and Metabolic Surgery Society Of India
Founder Member, Association of Minimal Access Surgeons of India
International Faculty of IASGO on Hernia and Diabetic Surgery
International Faculty of IFSO on Diabetic Surgery
Associate Editor : Diabetes and Obesity International Journal