Adhesions may be understood as scar tissues formed between organs as a result of injuries or a surgery. It has been found that 95 % of patients who undergo abdominal surgery are having adhesions as a consequence of the surgery. Normally adhesions are asymptotic and does not cause any harm to the life of a person. But at times adhesion can cause acute bowel obstructions.
Open surgery was the method previously available for adhesions. In 1991 Bastug et el reported the laparoscopic surgery for bowel obstructions caused by adhesions. Improvements in imaging technology, availability of powerful and small cameras, and other advancements in technology have made laparoscopic surgery very popular.
Lap adhesiolysis is done by inserting a laparoscope inside the abdomen through a small incision in the abdomen. A laparoscope is an instrument which is having a camera and a light source on one side of a tube. The other side of the tube is connected to a monitor visible to the surgeon. Laparoscope is allowed to enter to the interior of the abdomen through a small incision and the videos taken by it are magnified and projected to the monitor placed in front of the surgeon. The instruments for surgery are allowed to enter the interior of abdomen through other three incisions in the body. The surgeon controls the operation of the instruments by remote controls seeing the video of this action through the videos projected to the monitor before him.
Benefits of laparoscopic surgery are smaller incisions which results in quick recovery and faster curing of bowel obstructions. No of days to be spent in hospital is vey less and the patient can return for job faster.
Dr.Kalpana in a panel on PCOS infertility Indian fertility society conference