How to judge laparotomy adhesion

Laparotomy adhesion is a relatively abnormal manifestation, which is the kind of abdominal adhesion that will occur after a laparotomy. Abdominal adhesion is divided into many types, such as intestinal adhesion and so on. Laparotomy adhesion can be judged by some methods, but many people do not know its specific judgment method, or have not understood this kind of adhesion. So how to judge laparotomy adhesion?

Adhesions may occur during any surgery, and adhesions caused by cesarean section are mainly concentrated in two places: between the surgical incision and the abdominal wall, and between the bladder and the abdominal wall. "In severe cases, it can even affect the intestines and cause intestinal adhesions," experts pointed out that under imaging examinations such as B-ultrasound and CT, adhesion tissue is no different from other body tissues. Apart from opening the abdomen and identifying it with the naked eye, there is no other way to predict the adhesion situation in the mother's abdomen in advance.

After a cesarean section, the effect of the anesthetic gradually disappears and the pain in the abdominal wound begins to recover. Generally, the wound begins to hurt severely a few hours after the operation. In order to get a good rest and recover as quickly as possible, you can ask your doctor to give you some painkillers on the day of surgery or on the night of surgery. After this, be more patient with the pain and it is best not to use painkillers to avoid affecting the recovery of intestinal motility. Generally speaking, the pain from the wound will disappear on its own after 3 days.

Anesthetic drugs can inhibit intestinal motility and cause varying degrees of intestinal flatulence, thus causing abdominal distension. Therefore, it is advisable to do more turning movements after delivery to promote the early recovery of the paralyzed intestinal muscle peristalsis function and expel the gas in the intestine as soon as possible. 12 hours after the operation, you can drink some senna leaf water to help relieve abdominal distension.

Judging whether there is adhesion in the abdominal cavity needs to be judged based on the following aspects. The first is clinical manifestations, which are often manifested as recurrent intestinal obstruction, cold in the abdomen, eating spicy and irritating food, eating too much, and intestinal inflammation, which manifests as paroxysmal abdominal pain, abdominal distension, nausea and vomiting, and cessation of anal gas and bowel movements. The condition improves after gastrointestinal decompression and enema, and conservative treatment. Some people will show symptoms of acute strangulated intestinal obstruction once the disease occurs. Second, medical history: most patients have a history of intra-abdominal inflammation, surgical history, etc. The third abdominal upright radiograph showed multiple fluid and gas levels. Laparoscopic exploration can not only make a clear diagnosis, but also treat the disease!