Adhesions between internal organs after surgical operations are formed quite often. They are thin films or thick fibrous formations in the form of strips, consisting of connective tissue. Spikes are formed due to irritation of the peritoneum - serosa, covering the internal walls of the abdominal cavity and the surface of internal organs. Most often the adhesive process develops in the intestine, the lungs, between the ovaries, the fallopian tubes.
Formation of adhesions is a normal physiological process when the organ is restored after surgery, removing part of it. These formations become a natural obstacle for the spread of inflammatory-infectious processes in the peritoneum, isolation of the pathological focus from healthy tissues. However, spikes can grow significantly, causing displacement of organs, disrupting their functioning and decreasing the patency of the ducts.
Causes of proliferation of adhesions after surgery
The pathological growth of adhesions is possible due to:
- poor-quality execution of sections and suturing during surgery;
- ingress of foreign bodies during the operation (particles of gloves, gauze and cotton swabs, suture material, etc.);
- development of the infectious process;
- accumulation of blood;
- hypoxia of tissues.
Bowel adhesions after surgery
Most often, spikes are found after surgery with appendicitis, the symptoms of which can appear only after several months or years and are expressed as follows:
- soreness with physical exertion, sharp movements (more often in the rumen area);
- problems with defecation (in most cases - constipation);
- difficulties with the escape of gases;
- nausea;
- vomiting;
- fever.
Spikes can lead to intestinal obstruction, as well as to an even more serious complication - necrosis of the intestinal tissues.
Spikes in the nose after surgery
Surgical operations on the nose are often associated with subsequent complications, one of which is the formation of adhesions - fusion between surfaces devoid of epithelium. Adhesive processes can occur in different parts of the nasal cavity:
- in the anterior part of the nasal cavity, which causes a violation of the patency of the nostrils;
- in the middle part of the nose between the nasal septum and the nasal shells;
- in the area of the holes of the posterior wall of the nasal cavity, because of which the access to the pharynx is blocked.
Symptoms of adhesions in the nose can be:
- permanent nasal congestion;
- absence of smell;
- noise in the ears ;
- neuralgia.
Treatment of adhesions after surgery
With a small degree of adhesion, treatment can be conservative. To this end, physiotherapeutic resorption procedures are prescribed:
- electrophoresis with lidase ;
- laser therapy;
- magnetic therapy;
- fermentotherapy, etc.
Good results are given by massage sessions, mud therapy. Parallel to this, a therapy is carried out aimed at eliminating and preventing pathological processes that cause the growth of adhesions.
In more severe cases, surgical removal of adhesions is required. As a rule, laparoscopic methods with laser dissection, using an electron knife or water pressure are used for this. It should be borne in mind that even carrying out the operation is not
How to avoid adhesions after a lumbar operation?
Prevention of adhesions after surgery is the task of both the surgeon and the patient. The main thing for the patient is following the following recommendations after surgery:
- diet compliance;
- observance of normalized physical activity;
- prevention of infection in the postoperative suture.