Resection of Pelvic Adhesions
Resection of Pelvic Adhesions
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What is it?
Resection of pelvic adhesions (also called adhesiolysis) is a surgical procedure to gently cut and remove these bands of scar tissue, allowing the pelvic organs to return to a more natural position and function.
At Crescent Care Women’s Health, we specialize in minimally invasive laparoscopic adhesiolysis, which uses small incisions and precise instruments to reduce trauma and support faster healing.
What Are Pelvic Adhesions?
What Are Pelvic Adhesions?
Pelvic adhesions are bands of scar tissue that can form between pelvic organs—such as the uterus, ovaries, fallopian tubes, and bladder—after surgery, infection, endometriosis, or inflammation. These adhesions can cause the organs to stick together abnormally, leading to:
Chronic pelvic pain
Pain during intercourse
Infertility
Bowel or bladder discomfort
Complications during future surgeries
While some adhesions may not cause noticeable symptoms, others may significantly affect quality of life or reproductive function.
What Happens During the Procedure?
What Happens During the Procedure?
1. Before Surgery
1. Before Surgery
A thorough evaluation is performed, including pelvic exam, imaging, and review of symptoms.
You will receive general anesthesia for comfort and safety.
Your surgeon will discuss what to expect and answer all your questions.
2. During Surgery
2. During Surgery
Tiny incisions are made in the abdomen.
A laparoscope (a small camera) and fine instruments are used to view and access the pelvic area.
Scar tissue is carefully cut and removed to free the organs.
Healthy tissue is preserved, and any bleeding is controlled.
In some cases, a barrier may be placed to reduce future adhesion formation.
3. After Surgery
3. After Surgery
Most patients return home the same day.
Light activity can usually resume within a few days.
Recovery time ranges from 1–2 weeks, depending on the extent of the adhesions and your individual healing.
Who Might Benefit from Adhesion Resection?
Who Might Benefit from Adhesion Resection?
You may be a candidate for this procedure if you have:
Ongoing pelvic pain without another clear cause
History of prior pelvic surgery, endometriosis, or pelvic infections
Trouble conceiving, especially if imaging suggests adhesions
Pain with bowel movements, urination, or intercourse
Your provider will assess your symptoms, medical history, and goals before recommending surgery.
What Are the Risks and Benefits?
What Are the Risks and Benefits?
Benefits:
Benefits:
Relief from chronic pelvic pain
Improved fertility potential
Better organ mobility and function
Reduced risk of complications in future surgeries
Risks (as with any surgery):
Risks (as with any surgery):
Bleeding or infection
Recurrence of adhesions over time
Injury to nearby organs (rare)
Scar tissue reformation despite treatment
Frequently Asked Questions (FAQs)
Q: Are pelvic adhesions common?
A: Yes, they are a common result of pelvic surgery, infection, or inflammation. Not all cause symptoms, but some can lead to pain or fertility problems.
Q: Will removing adhesions guarantee pain relief?
A: Many women experience significant improvement, but pain can have multiple sources. Your care plan will be personalized based on your full health picture.
Q: Can adhesions come back?
A: Yes, scar tissue can reform over time, especially in cases of ongoing inflammation (like endometriosis). Minimally invasive surgery and careful post-op care reduce the risk.
Q: Will this help me get pregnant?
A: If adhesions are interfering with your reproductive organs, removing them may improve your chances of conception.
Q: Is it a major surgery?
A: No. When done laparoscopically, it’s a minimally invasive procedure with small incisions and relatively quick recovery.
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