Pelvic Adhesions
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Pelvic Adhesions



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What are Pelvic Adhesions?

Pelvic adhesions are bands of scar-like tissue that form between two surfaces inside the body. Inflammation from infection, surgery, or trauma can cause tissues to bond to other tissues or organs. 

Pelvic adhesions are the cause of many gynecological problems including significant pain, infertility and conception. Pelvic adhesions are irritations of a woman's pelvic organs as a result of a "pelvic inflammatory event" or from trauma to the area such as in the case of pelvic or gynecological surgery.

Examples of a pelvic inflammatory event include; fallopian tube infections that might occur from endometriosis, removal of an ovarian cyst, sexually transmitted diseases such as gonorrhea, post surgery infections, and even appendicitis and appendectomies. 

As a woman's body's pelvic area recovers from an inflammation, trauma or surgery, it begins the healing process and starts to repair itself.  The woman's body and its' healing process may cause some tissues and structures in the pelvis to become unintentionally "stuck" to another tissue or structure. In a normal woman's healthy pelvis, this space is lined with a tissue called the peritoneum, which also covers the outside of organs located in the abdomen and pelvis. In the pelvis of a non-injured/non-irritated woman, the peritoneum can be very "slippery" with the the organs and structures lying immediately next to each other that "slip" off each other and do not become bonded together. With a woman who has had a pelvic inflammation, trauma or injury, her body's healing process starts a sequence of events that may result in some of the pelvic tissues becoming "stuck" to or "adhering" to tissues or organs next to the inflamed, or injured tissue, and when this occurs, the outcome may be
pelvic adhesions.

The surgical procedure for removing pelvic adhesions is known as "adhesiolysis." 

Pelvic adhesions removed through adhesiolysis surgery can be a costly medical problem. According to a study, adhesiolysis (the surgery that removes pelvic adhesions) was responsible for about  450,000 adhesiolysis surgeries and hospitalizations involving the female reproductive system and digestive tract occurred in 1993 alone and accounted for over $2 billion in hospitalization and surgeon expenditures.

 


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