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.

Getting Ready

The week before your surgery:

  • Write down the correct date, time, and location of your surgery.

  • Arrange a ride home. Ask a family member or friend to drive you home after your surgery or procedure. Do not drive yourself home.

  • Ask your caregiver if you need to stop using aspirin or any other prescribed or over-the-counter medicine before your procedure or surgery.

  • Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine.

  • You may need blood tests or x-rays before your surgery. Talk to your caregiver about these and other tests you may need. Write down the date, time, and location of each test.

  • You may need to clean out your intestines before surgery. Eat high-fiber foods, such as fruits, vegetables, and whole-wheat breads, for 2 days before your surgery. Drink 6 to 8 (8 ounce) glasses of water a day, unless your caregiver tells you not to. You may need to take a laxative the day before your surgery. Ask your caregiver what laxative to take and when to take it.

The night before your surgery:

  • You may be given medicine to help you sleep.

  • Ask caregivers about directions for eating and drinking.

The day of your surgery:

  • Ask your caregiver before you take any medicine on the day of your surgery. Bring a list of all the medicines you take, or your pill bottles, with you to the hospital. Caregivers will check that your medicines will not interact poorly with the medicine you need for surgery.

  • You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.

  • Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.

  • An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell caregivers if you or anyone in your family has had a problem with anesthesia in the past.

Treatment

What will happen:

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.

Contact a caregiver if

  • You cannot make it to your surgery.

  • You have a fever.

  • The problems for which you are having surgery get worse.

  • You have questions or concerns about your surgery.

© 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 (Precare)

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