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Abdominal Adhesions

Abdominal AdhesionsAbdominal adhesions are bands of fibrous scar tissue that form on organs in the abdomen and cause them to stick together or abdominal wall. In people who live in developed countries, this scar tissue develops more frequently after abdominal surgery, during which organs are handled.

You can also form in people who develop peritonitis, an infection that spreads to the lining of the abdominal organs. Typically, peritonitis occurs after appendicitis or another abdominal infection. Another cause of adhesions is endometriosis, an inflammatory condition that affects some women and may compromise the abdomen.

In most patients, adhesions do not cause health problems. However, in a group of people with adhesions, fibrous bands of scar tissue blocking the intestines completely or partially. This blockage is called a bowel obstruction. Sometimes a small area affected by the adhesions may continue locking and unlocking, causing intermittent symptoms.

In about 10% of intestinal obstructions, a part of the intestine twists around the band of adhesions. This prevents the normal circulation to the intestine twisted, causing what is called “strangulation.” Faced with this emergency, you must perform emergency surgery. The death rate is 37% in people who develop this complication.

Adhesions are uncommon in patients who have had abdominal surgery.

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