International Adhesions Society





Chat About Adhesions

The following chat transcript courtesy of now


Prior Chat Transcripts


hosted by David Wiseman, PhD
August 19, 1998

Drwiseman "Well we're here to chat about adhesions. Does anyone want to start the ball rolling"

Christine2 "I had a question, can adhesions resolve on there own?"

Drwiseman "Only at very early times after surgery can the filmiest of adhesions resolve (or at least that is the theory based on animal studies). After that once it is there, it stays there."

John-m "Do they continue forming even years after the surgery?"

Drwiseman "Christine2: I guess you have adhesions: can you tell us something about it?"

Idee "I read recently about a substance that can prevent adhesions if applied during surgery. Can you tell us something about that?"

Drwiseman "John: They probably do not get more extensive, but they will mature. In other words tougher."

John-m "How will "tougher" manifest in the symptoms?"

Christine2 "I started having problems after a TAH July '96, had second surgery due to adhesions forming on the cuff and have pain all the time."

Drwiseman "Idee: There are several materials that are being used at the end of surgery that have been shown to reduce the extent, and in some cases, the severity of adhesions. They are INTERCEED and Seprafilm (in the USA and Europe) and INTERGEL (in Europe only)."

Idee "Thanx"

Drwiseman "More about them later while I answer John: "Tougher" may not manifest itself at all. In fact no one has really correlated the "toughness" of adhesions with the symptoms. Remember that many people can have adhesions and not know about it."

Roberta "Dr Wiseman, how do you know if you're likely to get adhesions. Are their any contributing factors or warning signs?"

Drwiseman "Christine2's problem is not an uncommon one. Adhesions form from the bowel to the vaginal cuff (the part that is left after a hysterectomy). The only things to do are: 1) endure the pain 2) have an adhesiolysis with application of an adhesion barrier. Although this has been done, I know of no data that says this is effective (in other words I know of no study that has shown this one way or the other)."

Drwiseman "Roberta: if you haven't had surgery before there are probably no warning signs. However, if you have had surgery and you begin to develop problems due to adhesions, then that is a sign that this may happen again. Not very predictive I'm afraid, but there are people walking around who have had 10-15 operations."

Drwiseman "Remember, most people will form adhesions, it's whether they are a problem or not that is the issue."

John-m "I'll through this out for comment: I had a yoga teacher in California who had previously been a physician in the Soviet Union. She claims that a form of yoga called "kriya yoga" can reduce or eliminate adhesions. Kriya yoga involves visualization and energy manipulations. It's not especially easy to do every day, or else I might have been able to offer an opinion on its efficacy. Any opinions?"

Drwiseman "Regarding contributing factors, infection, endometriosis, cancer, use of intraperitoneal chemotherapy, radiation, these are all things that will make the likelihood of adhesions and therefore their problems much worse."

Drwiseman "I've never heard of "kriya yoga" although I'm not too up on any kind of yoga. However, I have heard stories from individuals that certain exercises can help to reduce or eliminate adhesions. Jazzercise, aerobic and so on. I would certainly like to find out more about this, perhaps you can email me with the teacher's phone number:"

Drwiseman "Also the mental state that yoga may put you in may help you cope with the effects of adhesions."

John-m "The more physical yogas involving stretching and twisting the abdomen do help in my opinion. I do the physical exercises (nearly) every day. I'll send you the yoga teacher's e-mail later."

Drwiseman "John: So you feel somewhat better: is this completely better, how long does the relief last? How and where did you develop adhesions?"

Drwiseman "Christine: you mentioned that you had TAH. What does your doctor suggest regarding the pain/adhesions?"

Christine2 "First I just found out he (my doctor) does not believe in the barriers. I will be starting biofeedback and I will find out next month if pain management will help"

Drwiseman "Not everyone believes in barriers. That is a big problem."

John-m "The adhesions are from pyloric stenosis and a ruptured appendix, many years apart. I believe the yoga stretching helps because I'm staying out of the hospital, and seem to feel better when I do the exercises faithfully. I'm also extra careful about what I eat, avoiding all raw fruits, raw veggies, and nuts. They (the exercises) also help my back pain, which is another reason to keep doing them."

Drwiseman "For the record: Helen (HMD) is a regular visitor and correspondent. She has found some interesting sites that I had not seen before."

Drwiseman "John: that seems good advice. What kind of doctor do you see: GI, General Surgeon? This is particularly interesting because it is not often that we get men on this chat and we don't get a chance to hear about their experiences."

Drwiseman "I'm going to try taking everyone to a new web site I haven't seen before. If I lose you I apologise."

Drwiseman "Oh well, that didn't work."

Christine2 "Hmd, if you don't mind could I get the email addresses to some of them sites you found?"

John-m "My doctors in California were surgeons, perhaps with GI specialties but I'm not sure of that. They knew about the barrier studies that came out in late 1996, and even offered to do an elective procedure for me if I agreed. This is impressive for doctors in an HMO to offer such a thing. I declined, feeling that as long as I can control the worst symptoms (bowel obstructions and bouts of vomiting) without another surgery, I'd elect to do so. Also, I thought that I'd wait until the new barrier technologies mature a bit if I have that luxury."

Hmd "I found an article by the name of What You Don't Know Can Hurt You: Knowledge Is Power In A Doctor/Patient Relationship that I think everyone should read. The URL is:"

John-m "I forgot to add that I moved away from California in the spring. I haven't found a doctor here yet. Haven't needed one (knock on wood)."

Drwiseman "John: sounds like a good approach"

Roberta "How is Seprafilm different than Interceed?"

Drwiseman "INTERCEED vs Seprafilm: INTERCEED can be used in laparoscopy, Seprafilm can't. INTRECEED doesn't work well when bleeding has not been completely controlled, Seprafilm probably does. Seprafilm is use in general surgery, INTERCEED has shown no data for that use. INTERCEED is a fabric easy to apply and handle, Seprafilm is a sheet that is somewhat brittle (although I understand that Genzyme are about to come out with a version that is easier to handle, in Europe."

Roberta "Thank you so much Dr Wiseman for coming to and doing this chat!"

John-m "My HMO doctor in California had used Seprafilm one time, the last I spoke to him. He said that the woman patient had afterward gotten a massive post-op infection, but that she recovered. That does seem to be the big drawback with these new technologies, isn't it?"

Drwiseman "John you raise a good point about using new techniques. Although Seprafilm is regarded as safe (otherwise FDA would not have approved it), there is no way of knowing whether that lady would have developed an infection anyway. This leaves a bitter taste with the doctor nonetheless because s/he is never sure that it was the Seprafilm or not. S/he is therefore reluctant to use it again. That's why we need to rely on properly controlled clinical trials."

Hmd "I had to shut down...I was in limbo and had to go the scan disk process, etc. Christine 1 contact me at: and I will send you a list of URLS related to chronic pain and adhesions."

Hmd "Are you looking for Dr. Bradley's article about pelvic adhesions?"

Drwiseman "Yes: I posted it above here: can you see it?"

John-m "Nahhh! I must have something set up wrong."

Drwiseman "It might be me. John (and everyone else) if you send me you email address I will put you on the mailing list for future events re: adhesions"

Hmd "No, I can't. I have this article on my list too. John-m: contact me for a copy that I have assembled together."

Bruce "I believe the article URL is"

Hmd "Yes, that is the URL, Bruce."

Drwiseman "Well the hour is almost up: anymore questions about adhesions?"

Hmd "What can you tell me about INCERT?"

Drwiseman "INCERT: is a material in the early stages of development from a company called ANIKA. They just published an animal study. They are a long way off and won't start clinical trials until next year."

Drwiseman "Back again in time for the end. I hope that this has been helpful. Anymore questions or comments?"

Drwiseman "Thank you"

Drwiseman "Thanks: Bye for now"



DISCLAIMER: Please note that all information provided on this web site, or in response to any communication with the International Adhesions Society, is not intended nor is implied to constitute professional medical advice nor does it substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or regarding a medical condition or its current treatment.

To Top