Post-operative Adhesions
Adhesions are the medical term for scar tissue; adhesions often occur at locations of internal wound healing, such as after surgery. Adhesions are very common; in abdominal surgery, reports of adhesion rates can range from 57% to as high as 91%. If you've had arm or leg surgery, you may be familiar with adhesions because a physical therapist may have helped you do exercises to break up adhesions. If you did not break up the scar tissue, it might affect your range of motion.
For other internal surgeries, such as cesarean delivery, there aren't exercises that you can do to break up adhesions. Adhesions often form as a result of a cesarean delivery, so they are often seen at repeat cesarean delivery. They become more common and thicker as the number of cesarean deliveries increases. Fortunately, most of the time, patients don't notice these adhesions, because your internal organs don't have to move around the way your arms and legs do. But when they do cause problems, these problems can be very bad. Adhesions can cause persistent pain, they can lead to difficulty getting pregnant, and can cause life-threatening digestive problems.
Even when the patient doesn't notice adhesions, they can cause her problems. A first time cesarean delivery takes about 30 minutes. But during second cesarean delivery, if there are adhesions present, it takes the doctor an extra five minutes to cut through the adhesions to get to the baby. In a third cesarean delivery, it takes ten minutes to cut through the adhesions. If you have to have surgery, you want to keep it as brief as possible, because the longer the procedure takes, the longer you need to be under anesthesia, the more blood you lose, and the greater your risk for getting an infection.
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