Adhesiolysis – Surgical Removal of Pelvic Adhesions

Adhesiolysis is a surgical procedure performed to remove adhesions — bands of scar tissue that can form between organs and tissues in the pelvic area, especially after previous surgeries, infections, or endometriosis. These adhesions can cause chronic pelvic pain, infertility, or bowel and urinary dysfunction. Adhesiolysis helps restore normal anatomy and function, often improving quality of life and reproductive outcomes.

What to Expect

Before the Procedure

• Pelvic ultrasound, MRI, or laparoscopy may be used to identify adhesions
• Routine blood tests and anesthesia fitness assessment
• Fasting for at least 6–8 hours before surgery
• Discussion about fertility goals and medical history

During the Procedure

Adhesiolysis is usually performed laparoscopically — using a thin, lighted instrument (laparoscope) inserted through small abdominal incisions. Specialized instruments are used to gently cut and remove adhesions. The procedure can take 1–3 hours depending on the extent of scar tissue.

After the Procedure

• Same-day discharge or 1-day hospital stay in most cases
• Mild abdominal discomfort, bloating, or spotting may occur
• Return to routine activities within 5–7 days
• Fertility treatments may be resumed after recovery

Benefits of Adhesiolysis

• Relieves chronic pelvic or abdominal pain
• Improves chances of conception in women with infertility
• Restores normal function of pelvic organs
• Minimally invasive technique for faster recovery
• Improves outcomes in assisted reproductive procedures

Ideal Candidates

• Women with history of previous pelvic or abdominal surgeries
• Those experiencing unexplained infertility or pelvic pain
• Patients with known endometriosis or pelvic inflammatory disease (PID)
• Women undergoing diagnostic laparoscopy for tubal evaluation

Pre- and Post-Procedure Care

Before: Follow your doctor’s instructions on fasting and medications. Avoid eating, drinking, or smoking 8 hours before surgery. Wear loose, comfortable clothing on the day of surgery.

After: Take prescribed pain medications, avoid strenuous activity for a week, and watch for signs of infection. Follow-up appointments are important to assess healing and plan further fertility treatments if needed.

Testimonials

"After months of unexplained pain, I finally got relief through adhesiolysis. I wish I had done it sooner!" – Anita R., 36

"We were trying for 2 years. After removing adhesions, I conceived naturally within 4 months. Thank you, Dr. Rainee!" – Preeti V., 30

Frequently Asked Questions

What causes pelvic adhesions?

Common causes include prior surgeries, infections (like PID), endometriosis, or intrauterine trauma.

Is adhesiolysis painful?

The procedure is done under anesthesia. Mild postoperative discomfort is managed with medication.

Will the adhesions come back?

There is a chance of recurrence. Surgical technique and post-op care help reduce this risk.

Does it help with infertility?

Yes. Adhesiolysis can improve fertility, especially if adhesions were affecting the uterus, fallopian tubes, or ovaries.

How long is recovery?

Most women resume normal activities within a week. Full healing may take 2–3 weeks.

Contact Dr. Rainee Agrawal

If you’re experiencing unexplained pelvic pain or fertility challenges, get a professional evaluation today.

+91 6265 125 460

Contact Person: Dr. Rainee Agrawal