Dr R K Mishra delivering lecture on Adhesiolysis and Adhesion Prevension at World Laparoscopy Hospital. Adhesiolysis is the term for the surgery that is performed to remove or divide adhesions so that normal anatomy and organ function can be restored and painful symptoms can be relieved. In some rare cases, adhesions form without visible or known tissue trauma.

Laparoscopic adhesiolysis is a surgical procedure used to remove adhesions, which are bands of scar tissue that can form between organs and tissues in the abdomen after surgery or inflammation. Here is an overview of the procedure:

Anesthesia: The patient will be placed under general anesthesia.

Port placement: Several small incisions will be made in the abdomen to allow access for the laparoscope and other instruments. Typically, three to four ports will be placed.

Visualization of adhesions: The laparoscope will be inserted through one of the incisions to allow the surgeon to view the adhesions. The adhesions will be carefully dissected and removed using specialized instruments, such as scissors or electrocautery.

Adhesion prevention: To prevent new adhesions from forming after surgery, various measures may be taken, including the use of adhesion barriers, such as sheets or gels, or the application of tissue glue or other products.

Closure of incisions: The incisions will be closed with sutures or surgical glue.

Recovery: The patient will be monitored in the recovery room until they wake up from anesthesia, and then will be transferred to a regular hospital room. They may experience mild pain or discomfort, which can be managed with medication.

In addition to laparoscopic adhesiolysis, several measures can be taken to prevent adhesions from forming after surgery, including the use of anti-adhesion agents, minimizing tissue trauma during surgery, and reducing the use of foreign bodies or prosthetic materials.

Overall, laparoscopic adhesiolysis and adhesion prevention offer many benefits for patients, including less pain, smaller incisions, shorter recovery times, and lower risk of complications compared to traditional open surgery. It is important for patients to discuss their options with their healthcare provider and determine if laparoscopic surgery is the best option for their individual situation.