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Lysis Of Abdominal Adhesions
WHAT YOU NEED TO 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.
HOW TO PREPARE:
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 healthcare provider 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 healthcare provider. Tell your provider if you are allergic to any medicine. Tell your provider 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 healthcare provider 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 healthcare provider tells you not to. You may need to take a laxative the day before your surgery. Ask your healthcare provider what laxative to take and when to take it.
The night before your surgery:
- You may be given medicine to help you sleep.
- Ask healthcare providers about directions for eating and drinking.
The day of your surgery:
- Ask your healthcare provider 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. Providers 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 healthcare providers 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.
- Healthcare providers 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 healthcare providers if you or anyone in your family has had a problem with anesthesia in the past.
WHAT WILL HAPPEN:
What will happen:
Your healthcare provider will make several small incisions, or one large incision, on your abdomen. He will cut or burn the adhesions. Your healthcare provider may also vaporize them with a laser. He may insert a barrier to keep new adhesions from forming. Your healthcare provider 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 healthcare provider says it is okay. When your healthcare provider sees that you are okay, you will be taken to your hospital room.
CONTACT YOUR HEALTHCARE PROVIDER 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.
- 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.
Care AgreementYou have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment.
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