Reviewed by: Dr. Priyadatt Patel, Senior Gynecologist · Advanced Laparoscopic Surgeon · IVF and Endometriosis Programme Lead. Last updated: 26 May 2026.
Laparoscopy · Adhesiolysis
Laparoscopic Adhesiolysis
Surgical division of pelvic and abdominal adhesions that cause chronic pain, infertility, or bowel obstruction.
What causes adhesions
Common origins
Previous surgery, infections (PID, appendicitis), endometriosis, and inflammatory conditions. Adhesions can distort anatomy and cause pain, infertility, or bowel obstruction.
Indications
When adhesiolysis helps
Documented chronic pelvic pain with anatomical distortion, infertility with tubal adhesions, recurrent bowel obstruction, and severe dyspareunia. Adhesiolysis without clear indication often does not improve symptoms.
Outcome and recurrence
Realistic expectations
Symptom improvement in 60-80 percent of carefully selected patients. Recurrence of adhesions occurs in 30-50 percent. Anti-adhesive barriers may reduce recurrence rates. Realistic counselling is essential.
Common questions
Frequently asked
Will adhesiolysis cure my pelvic pain?
In well-selected patients, significant pain improvement is achievable in 60-80 percent. Cure is less common – chronic pain often has multiple contributors.
Can adhesions reform after surgery?
Yes – approximately 30-50 percent of patients develop new adhesions. Modern technique and anti-adhesive barriers help reduce but cannot eliminate recurrence.
Are there risks specific to adhesiolysis?
Bowel and bladder injury risk is higher when significant adhesions are present. We use careful technique and have low complication rates, but the risk profile differs from straightforward laparoscopy.
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Dr. Priyadatt Patel
Senior Gynecologist · Advanced Laparoscopic Surgeon · IVF and Endometriosis Programme Lead
MS OBGyn · Pregnancy Care · Advanced Gynaecological Ultrasound · Fertility Preservation
ESHRE / ESGE / AAGL / ASRM guideline-aligned practice. 3D Karl Storz precision technique. Fertility-preservation-first philosophy. Evidence-based decisions, honest counselling, long-term outcomes orientation.
Endometriosis
Superficial to deep infiltrating, fertility-preserving excision
IVF & Fertility
Individualised protocols, ART Level 2 lab, transparent outcomes
Advanced Laparoscopy
3D Karl Storz precision, nerve-sparing technique
Pregnancy Care
Antenatal care, high-risk pregnancy, advanced ultrasound
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