Treatment for Adhesion Following Hysterectomy
Treatment for complicated adhesion with bowel obstruction should focus on decompressing the bowel obstruction. A patient is put on naso-gastric suction to expel the accumulated gas and fluid in the stomach while intravenous fluids and antibiotics are administered. Input and output of body fluids are monitored by inserting a urinary catheter. The spectrum of treatments for a small bowel obstruction ranges from conservative management with bowel rest to surgical intervention.
There are various types of surgeries which can be done:
i) Duodenal Resection for Duodenal Obstruction.
ii) A Bypass Surgery: Gastro-Jejunostomy if it is unable to remove the site of obstruction.
iii) Laparotomy in case of complete bowel obstruction.
Treatment for uncomplicated adhesion depends on the extent of adhesion as well as the symptoms experienced by patients. While pelvic pain can be controlled by NSAIDs, some patients find acupuncture equally promising.
Essentially, the treatment of choice for adhesion after hysterectomy is adhesiolysis, that is to separate or remove adhesions surgically. Patients with pelvic pain associated with severe adhesion experience a marked improvement of symptoms following laparoscopic adhesiolysis. Apart from that, up to sixty percent of infertility cases attributed to pelvic adhesion were successfully treated with adhesiolysis. Laparoscopic approach for adhesiolysis is a more popular choice as compared to the open adhesiolysis simply because it can be done electively. Faster recovery time also lowers the incidence of infection and pain.