What are the steps of pelvic adhesion lysis?

What are the steps of pelvic adhesion lysis?

Pelvic adhesion is actually an inflammatory disease caused by the infection of bacteria and viruses in the organs in the pelvis. The most common diseases are hysterosalpingitis and oophoritis. All of these diseases will cause congestion and edema of the tissues, and the secretions will increase. Pelvic adhesion decomposition is needed for treatment. So what are the steps of pelvic adhesion decomposition?

First, what is pelvic adhesion lysis? During the operation, B-ultrasound or laparoscopic monitoring is often used to ensure the safety of the operation and prevent pelvic perforation and false passage formation. There are reports that laparoscopic intracorporeal ultrasound can be used to monitor cases of severe pelvic adhesions and complete pelvic obstruction. It combines the advantages of laparoscopy and ultrasound imaging, directly observes the pelvic surface, and guides surgical treatment and improves the safety of surgery based on the different ultrasound images of the pelvic endometrium, pelvic wall and pelvic electrosurgical resection ring.

Second, during the operation, non-invasive grasping forceps should be used to pull the tissues on both sides of the area to be separated to maintain a certain tension. Thin avascular adhesions can be cut directly with scissors. Thick vascular adhesions should be treated with bipolar electrocoagulation before being cut. Another method for loosening adhesions is to use water flushing separation. This requires a dedicated flushing and suction pump. It can directly separate loose adhesions. As for denser adhesions between different organs, it can form a peeling surface or create a potential cavity within the adhesion to facilitate the next step of sharp separation and reduce damage. For pelvic endoscopic surgery that causes severe pelvic obstruction, 150-200 ml of lactated Ringer's solution or a tube of sodium hyaluronate can be placed in the pelvic cavity after the surgery to prevent postoperative adhesions.

What are the steps of pelvic adhesion lysis? The above content introduces it. Pelvic adhesion is generally caused by previous pelvic surgery, and the symptom is lower abdominal pain. If there are indeed adhesions in the pelvis and your symptoms are more obvious, you can consider laparoscopic pelvic adhesion lysis. If the situation is not so serious, you can consider traditional Chinese medicine treatment first. Pelvic inflammation can cause adhesions in the pelvis, which can cause abdominal pain and pain during sexual intercourse. If there is blockage or adhesion of the fallopian tubes, it will affect fertility.

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