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Marianne, your doctor is correct!! When a cyst ruptures, the fluid that is released is an irritant to the pelvic cavity; and our body recognizes the fluid from a ruptured cyst as being a foreign substance. Our body sends out its defense army and encapsulates this foreign substance. This is one way in which adhesions (scar tissue)are formed !!
Surgery is NOT the only cause of adhesions!! Other causes of adhesions are:
1.) TRAUMA is frequently a major contributor to the formation of adhesions. It has been shown that adhesions which form or develop after surgery are a result of the body's normal healing process.
(I recently read an article where the victim of a car accident developed adhesions as a result of trauma caused by wearing a seat belt.)
2.) During a surgical procedure blood flow often must be disrupted by the cutting, coagulation or tying of sutures. This disruption can result in ISCHEMIA (lack of blood supply). This can also lead to inflammation and cause adhesion formation.
3.) FOREIGN BODIES can also cause an inflammatory reaction in the body. A foreign body can be suture material, lint from sponges, or talc from gloves. Local cells respond to the foreign body causing cells to release factors that incite an inflammatory reaction and adhesions may result.
4.) HEMORRHAGE or BLEEDING brings blood products into the operating field.
5.) The RAW SURFACES from the operation plus the blood from tissues can enhance the formation of adhesions.
6.) INFECTION from a variety of sources, endometriosis, or pelvic inflammatory disease (PID) can cause inflammation which results in adhesion formation.
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Some of the above information is from the website below. For much more excellent information about adhesions, go to:
[] "Patient Information Bulletin" at
http://www.adhesions.com/patient.html