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Lysis Procedure Questions

What is the lysis procedure?

Adhesions are scars that develop inside the body. The adhesions often develop in the pelvis or abdomen. These scars can form as a part of the healing process after surgery. They can also develop following an infection or other possible inflammatory conditions including:
• Diverticulitis
• Endometriosis
• Appendicitis

When scar tissue develops, many individuals wonder what the cure for this could be. The treatment for adhesions is a lysis procedure. This procedure removes scar tissue from the body laparoscopically. This is performed in order to help reduce pain and restore function. During this procedure a needle is inserted into the abdomen once the individual is asleep. The abdomen is expanded by a gas; this helps a doctor see all the organs. The scope is then inserted into the abdomen through a small incision. Several small incisions will be made into the abdominal wall. The adhesions are then removed by small instruments. This procedure can help free any organs that are caught in this scar tissue. When someone needs a lysis procedure, many questions can arise about the standard of care, side effects and possible complications. Read below for questions that have been answered by Experts.

What is the standard of care following a lysis procedure?

A liquid diet is introduced first which is followed by a semi-solid diet. Once the semi-solid diet is tolerated, a normal food diet is introduced. A clinical evaluation is needed before any diet is changed. The intestines often do not work properly after an intra-abdominal surgery. Food and fluids are withheld until the bowel sounds are heard. Once the bowel sounds are heard and the individual is able to pass gas, sips of water are introduced. This could take 3-5 days following the lysis procedure. The clinical judgment can vary from person to person.

Would a lysis of adhesions help prevent further adhesions from forming?

The adhesions that are present and that could be causing issues are removed during a lysis of adhesions. This procedure will not prevent further adhesions from forming. Scar tissue or adhesions can develop because of this procedure. Scar tissue that forms in the future can have symptoms. These symptoms can include abdominal pain, nausea and possibly vomiting. A careful approach should be taken with future adhesions. The treatment can include resting the area, pain medications and fluids. Surgery is often needed if these treatments do not work.

How is a lysis procedure performed?

A lysis procedure is performed by making small incisions into the abdomen that allows this area to be filled with gas. Once the abdomen is expanded, surgical tools and a camera is placed in the stomach. Expanding the abdomen with gas can help provide enough space to operate. There can be times that a large stomach incision is needed. During the large incision, a doctor can insert a film like material between the organs. The body absorbs the material within a week. The use of starch and latex gloves can also help adhesions from reforming.

What are signs of complications following a lysis procedure?

After a lysis procedure, a sudden onset of serious complications may not occur. it can take up to a week for intestines to return to normal function following the procedure. An exam from a doctor may be needed if serious symptoms occur including:
• Continuous vomiting
• Severe bloating
• Inability to pass gas
• Pain in the abdomen of more than 5 on a scale of 0-10
• A hard distended abdomen that may be accompanied by tenderness.

Although this procedure helps remove present adhesions, future adhesions can occur. Anytime a lysis procedure is needed, questions and concerns can arise. Questions about the complications and what this procedure consists of could come up. For more information or answers to these questions, individuals can contact an Expert.
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