Lysis Of Abdominal Adhesions

WHAT YOU SHOULD KNOW:

Lysis of abdominal adhesions is surgery to remove adhesions in your abdomen. Adhesions are bands of scar tissue. Adhesions can cause organs and surrounding tissues to be twisted, pulled out of place, or stuck together.

CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

RISKS:

  • You may bleed more than expected or get an infection. You may have an allergic reaction to the anesthesia medicine. Your intestines may slow down after surgery. This can cause bloating and constipation. Organs, such as the liver or spleen, could be damaged during surgery. You may get a blood clot in your leg or arm. The clot may travel to your heart or brain and cause life-threatening problems, such as a heart attack or stroke.

  • You may get an incisional hernia (weak area around the incision). You may still have abdominal pain. More adhesions may grow where the surgery was done. You may need to have another surgery to remove adhesions.

WHILE YOU ARE HERE:

Before your surgery:

  • Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.

  • An IV is a small tube placed in your vein that is used to give you medicine or liquids.

  • Anesthesia: Caregivers use this medicine to keep you free from pain during surgery. You may have general anesthesia through your IV or as a gas. This will keep you asleep during surgery. You may have local anesthesia through your IV or as a shot. This will numb the area where you are having surgery. You will be awake during the surgery. You may also receive medicine to keep you calm and relaxed during surgery.

During your surgery:

Your caregiver will make several small incisions, or one large incision, on your abdomen. He will cut or burn the adhesions. Your caregiver may also vaporize them with a laser. He may insert a barrier to keep new adhesions from forming. Your caregiver will close your incision with stitches, staples, medical strips, or medical glue. A bandage will cover your wounds to help prevent infection.

After your surgery:

You will be taken to a room to rest until you are fully awake. Do not get out of bed until your caregiver says it is okay. When your caregiver sees that you are okay, you will be taken to your hospital room.

  • Activity: You may need to walk around the same day of surgery, or the day after. Movement will help prevent blood clots. You may also be given exercises to do in bed. Do not get out of bed on your own until your caregiver says you can. Talk to caregivers before you get up the first time. They may need to help you stand up safely. When you are able to get up on your own, sit or lie down right away if you feel weak or dizzy. Then press the call light button to let caregivers know you need help.

  • Deep breathing and coughing: This will help decrease your risk for a lung infection after surgery.

    • Hold a pillow tightly against your incision when you cough to help decrease pain. Take a deep breath and hold it for as long as you can. Deep breaths help open your airways. Let the air out and follow with a strong cough. Spit out any mucus you cough up. Repeat the steps 10 times every hour.

    • You may be given an incentive spirometer to help you take deep breaths. Put the plastic piece into your mouth and take a slow, deep breath. Let out your breath and cough. Repeat the steps 10 times every hour.

  • You will be able to drink liquids and eat certain foods once your stomach function returns after surgery. You may be given ice chips at first. Then you will get liquids such as water, broth, juice, and clear soft drinks. If your stomach does not become upset, you may then be given soft foods, such as ice cream and applesauce. Once you can eat soft foods easily, you may slowly begin to eat solid foods.

  • Foley catheter: This is a tube caregivers put into your bladder during surgery to drain your urine into a bag. Keep the bag below your waist. This will help prevent infection and other problems caused by urine flowing back into your bladder. Do not pull on the catheter, because this may cause pain and bleeding, and the catheter could come out. Keep the catheter tubing free of kinks so your urine will flow into the bag. Caregivers will remove the catheter as soon as possible, to help prevent infection.

  • Intake and output: Caregivers will keep track of the amount of liquid you are getting. They also may need to know how much you are urinating. Ask how much liquid you should drink each day. Ask caregivers if they need to measure or collect your urine.

  • Medicines:

    • Pain medicine: Caregivers may give you medicine to decrease your pain. Do not wait until the pain is severe to ask for your medicine. Pain medicine can make you dizzy or sleepy. Prevent falls by calling a caregiver when you want to get out of bed or if you need help.

    • Antinausea medicine: This medicine may be given to calm your stomach and to help prevent vomiting.

    • Antibiotics: This medicine is given to help treat or prevent an infection caused by bacteria.

    • Bowel movement softeners: This medicine makes it easier for you to have a bowel movement. You may need this medicine to prevent constipation.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Lysis Of Abdominal Adhesions (Inpatient Care)

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