Adhesions - What are they? Why are they a problem? Why do they form?

From: Helen Dynda (
Wed Apr 14 21:17:04 1999

Perhaps we can get some discussion going if I share some things about adhesions: " What are adhesions? Adhesions are fibrous bands connecting structures that are normally separate. Adhesions develop as normal tissue responds to some form of injury.

"Why are adhesions a problem? Adhesions can lead to a variety of complications which include pelvic pain, infertility, bowel obstruction and prolonged operative and recovery times.

"Why do adhesions form? Some of the causes of adhesion formation 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.

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 resut.

4.) "Hemorrhage or bleeding brings blood products into the operating field. The raw surfaces from the operation plus the blood from tissues can enhance the formation of adhesions.

5.) " Infection from a variety of sources, endometriosis, or pelvic inflammatory disease can cause inflammation which results in adhesion formation.

- - - - - - - - - - - - - - - - - - - - Note: The information above can be found at: <>

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