What is adhesion during cesarean section?

Some mothers will have adhesions after cesarean section. Many people don't know what this symptom is. In fact, it is closely related to the habits and behaviors of the mother, and is directly related to the recovery of the mother's gastrointestinal tract. It is a problem that cannot be underestimated. How can adhesions occur after cesarean section?

What is cesarean section adhesion

1. The most common abdominal adhesions are adhesions of abdominal surgical wounds. The wounds of appendectomy and gynecological minimally invasive surgeries are located at low locations, and the intestines are easily affected by the force and fall into the affected area, which increases the chance of adhesion. This type of adhesion is called parietal adhesion, while adhesions between the intestines, retina, and internal organs are called visceral adhesions.

2. Because most of the abdominal adhesions are small intestinal adhesions, which mainly affect the movement of the intestines and cause symptoms, postoperative intestinal adhesion is a more common name for abdominal adhesions. The greatest harm caused by abdominal adhesions is that they become the pathological basis for adhesive intestinal obstruction. Similar to how scarring occurs when our skin heals from injuries, these adhesions can also atrophy, causing the intestines to stretch or clump.

In fact, most people have no symptoms for adhesions after cesarean section, because it can only be detected during the second operation. In fact, this kind of adhesion is different according to each person's physical condition, because some people may have undergone several operations without any adhesions, and some people may have only undergone one operation and the entire abdomen is stuck together, which is also possible.

But now with some of our treatments, such as many anti-adhesion drugs or materials that can be put into the abdomen to prevent adhesions from occurring, it will also alleviate the symptoms.

Severe pelvic adhesions can lead to intestinal adhesions, which can cause intestinal obstruction and carry a higher risk.

How can adhesions occur after cesarean section?

1. When the abdomen is irritated by damage (trauma, surgery), infection (appendicitis, gastric perforation), or foreign body (ruptured blood vessels, light calcium powder in gloves), a colloidal liquid called fibrinogen will be exuded from the part, which will quickly turn into a coagulant called free fatty acid, covering the ruptured or infected retroperitoneal surface and playing a repair and protection role. Free fatty acids have strong adhesiveness and will cause the adjacent retroperitoneum to adhere together.

2. After the injury heals, if the body can absorb these free fatty acids well, no traces will be left. If digestion and absorption are incomplete, adhesions will continue to exist. A type of cell called fibrocytes grow and develop inside it, further forming fibrocytes and neovascularization. The adhesions become increasingly dense and firm, and develop into organized adhesions, some in lumps and some in cords, which are not easily absorbed.

It is important to prevent adhesions after surgery. In addition to ensuring adequate rest after surgery, you must also ensure that your immunity is enhanced. When your physical condition permits, walking appropriately is very helpful in preventing adhesions.