Abdominal Adhesions

Reviewed 06/2017
 


BASICS

  • Pathologic bands of scar tissue that form between two previously separated structures

  • Adhesions most commonly between:

    • Omentum

    • Bowel loops

    • Abdominal wall

DESCRIPTION

  • Adhesions may be congenital or ...

DIAGNOSIS

Adhesions are primarily diagnosed through patient history and/or intraoperatively. The number of adhesions does not correlate with symptoms. 
Alert

Small bowel obstructions in patients without...

TREATMENT

SURGERY

  • Nasogastric decompression for patients with evidence of partial SBO without specific indications for surgery (4)[A]

  • Adhesiolysis

    • Performed for symptomatic complications of adhesions, ...

ONGOING CARE

PROGNOSIS

  • Adhesions are typically asymptomatic. Once present, they cannot be fully removed.

  • No single approach has been satisfactory in removing adhesions.

COMPLICATIONS

  • Most common complicat...

REFERENCES

Arung W, Meurisse M, Detry O. Pathophysiology and prevention of postoperative peritoneal adhesions. World J Gastroenterol.  2011;17(41):4545–4553. [View Abstract on OvidInsights]
Robb...

ADDITIONAL READING

  • Blumenfeld YJ, Caughey AB, El-Sayed YY et al. Single-versus double-layer hysterotomy closure at primary caesarean delivery and bladder adhesions. BJOG.  2010;117(6):690–694. [V...

SEE ALSO

Algorithm: Intestinal Obstruction; Infertility 

CODES

ICD10

  • K66.0 Peritoneal adhesions (postprocedural) (postinfection)

  • Q43.3 Congenital malformations of intestinal fixation

  • N99.4 Postprocedural pelvic peritoneal adhesions

  • N73.6 Female pelvic peritonea...

PEARLS

  • Abdominal adhesions result primarily from abdominal infection or trauma (including surgery).

  • Most adhesions are asymptomatic; the most common complication is bowel obstruction (partial or comple...

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