Drs. Miklos & Moore understands the pain and frustration that adhesions can cause. Many surgeons may tell you that adhesions do not cause pain, that’s because they have never suffered from what you are experiencing…. PAIN. If you’re seeking information on what causes abdominal or pelvic adhesions, read more below. You will learn about laparoscopic adhesiolysis – the minimally invasive surgery used to remove adhesions.

With 45 years of combined laparoscopic surgical experience and more than 8000 surgical patients, Drs. Miklos & Moore understand the severity of pain that patients suffer from abdominal and pelvic adhesions. Patients from all over the world that have had as many as 20 previous surgeries have been successfully treated laparoscopically at Miklos & Moore Urogyneoclogy.

Drs. Miklos & Moore have a bowel, bladder and ureter injury rate of less than 1% and a less than 1 in 500 chance of their patient getting a large incision (i.e. laparotomy) to complete the adhesiolysis. It comes as not surprise that patients travel from around the world to have their surgeries performed in Atlanta GA, Beverly Hills CA and Dubai by Drs. Miklos & Moore.

Introduction

Adhesions form when inflammation occurs on the inner surface of the abdominal and pelvic cavity. This inflammation creates scar tissue that is a normal part of healing. Adhesions become a problem when patients begin to experience symptoms and complications from their presence.

Abdominal adhesions attach to abdominal organs such as: the intestines, bowel, colon, liver, gallbladder, peritoneum (lining of the abdominal wall), appendix, spleen, kidneys or ureters. Pelvic adhesions can be found in the lowest portion of the abdomen and within the confines of the pelvic bones and pelvic organs such as: the uterus, vagina, fallopian tubes, ovaries, rectum, bladder, and sigmoid colon.

These are abdominal adhesions and symptoms most commonly include pain, distention, bloating and constipation.

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adhesions

These are pelvic adhesions involving the organs of the pelvis, which may cause pain during intercourse.

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adhesions

SYMPTOMS / CONDITIONS

Symptoms caused by adhesions vary; however, most adhesions do not cause symptoms. However, many patients do experience problems with adhesions. Symptoms commonly experienced by patients with abdominal adhesions include: bloating, nausea, and abdominal pain. Pelvic adhesions are commonly associated with increased pain with menses, generalized pelvic pain, and infertility. One of the most serious complications of abdominal and pelvic adhesions is bowel obstruction. Typical symptoms of mild obstruction included abdominal cramps, abdominal pain, abdominal distension, which are made worse with eating. Patients with severe obstruction will often have severe abdominal pain, vomiting and severe distension of the abdomen. This is an emergent condition and usually the patient will automatically take herself to the emergency room.

Treatment

The medical term for adhesion removal surgery is adhesiolysis. Drs. Miklos & Moore are experts in adhesion removal surgery and perform only laparoscopic surgery for abdominal and pelvic adhesions. See their minimally invasive and meticulous technique by clicking the video to the right.

DR. MIKLOS & DR. MOORE ALWAYS ATTEMPT TO MINIMIZE TRAUMA AND BLEEDING TO THE PATIENT AT THE TIME OF ADHESION REMOVAL BY DOING THE FOLLOWING:

Using laparoscopic surgery methods for abdominal adhesions and pelvic adhesions – Drs. Miklos and Moore use scissors with minimal electric energy.

Minimizing electric energy – Many surgeons will burn every adhesion prior to cutting them, to prevent bleeding. However, burning adhesions creates thermal damage and the tissue begins to slough (i.e. ‘rot’) over the next few days. This creates sticky tissue, which in turn creates even more adhesions. Drs. Miklos & Moore use electric cautery (i.e. burning) energy only when needed. They estimate they use less than 10% on all adhesions. They cut adhesions first, and only if the bleeding persists will they use energy to cauterize or stop the bleeding.

Gently Handling Tissue – Minimizing trauma to the area by handling tissue with the utmost care is crucial to minimizing adhesion formation.

Minimizing blood loss – Blood loss comes from traumatized tissue. If a surgeon minimizes trauma to the tissue, then there will be less blood loss. Less blood loss means less adhesion formation.

No powdered gloves – Some surgical gloves actually have a talc type powder on them. Drs. Miklos & Moore make sure their gloves are foreign body free. Foreign bodies mean more adhesions.

Anti-adhesive agents – Though no agent has ever been proven to definitively work against preventing adhesions, Drs. Miklos & Moore are not against using products such as: Interceed, Spray Gel, Adept, Arista etc.

Where do I go from here?

Call today to speak with Susie to discuss how you can schedule an appointment with Dr. Miklos and Dr. Moore. Susie can help you with the logistics of traveling for a consultation or for our “next day” surgery program.