Tip 1: Adhesive process in the abdominal cavity of a woman: signs and treatment

Medicine

Tip 1: Adhesive process in the abdominal cavity of a woman: signs and treatment

Adhesive process is a fusion of the surfaces of internal organs. The main function of the adhesive process is to protect the body from expanding the boundaries of inflammation throughout the abdominal cavity.

The organs located in the abdominal cavity of a woman -uterus, fallopian tubes, ovaries, bladder and rectum - are covered with a very special thin membrane called the peritoneum. This shell has a smooth structure without any nodes. In the case of the onset of the inflammatory process in the small pelvis accompanied by peritonitis, a specific plaque containing fibrin appears on the surface of the peritoneum. This substance glues the surfaces of internal organs with each other, provoking the formation of an adhesive process. As a result, a mechanical obstacle appears to spread the inflammation in the small pelvis, and after the process of inflammation the fusion remains.

Symptoms of the disease

Adhesive process that carried out its protectivefunction in case of a disease with peritonitis, subsequently leads to disruption of the functioning of internal organs located in the small pelvis. Very important, after the therapy of peritonitis, immediately begin treatment of adhesions. It is in this case that the probability of the formation of a large site of fusion is significantly reduced. When the inflammatory process becomes chronic, the adhesive disease of the abdominal cavity often develops, without the appearance of characteristic symptoms and any external signs. In such cases, occasionally, pain occurs in the lower abdomen during hypothermia, and sometimes constipation may occur. In the acute form of the disease there are painful sensations, nausea, vomiting, body temperature increases and the heart rate increases. In some cases, intestinal obstruction may occur, as a result of which the woman's condition deteriorates sharply: the pressure drops, the amount of urine released decreases significantly, and weakness and drowsiness appear. The intermittent form of the disease is characterized by the occurrence of periodic pains, and may also disturb intestinal disorders: constipation and diarrhea.

Treatment of adhesions

The main method of therapy of this disease -laparoscopy. This operation makes it possible to carry out very delicate manipulations very carefully. With the aid of the laparoscope, the surgeon produces an accurate separation of the adhesions, after which they are removed. The main methods for separating the adhesions are: laser therapy (splitting of splices with the help of a laser), aqua dissection (performed with water) and electrosurgery (the adhesive process is dissected with an electron knife). surgery, the patient is advised to undergo preventive treatment to prevent the appearance of new splices. Therapy consists in the following: - introduction of various barrier liquids into the cavity of the small pelvis, - enveloping the fallopian tubes and ovaries with polymeric resorbable films. Also, the doctor can prescribe special medications that promote the dissolution of fibrin, as a rule, such agents include: fibrinolytic agents, anticoagulants, as well as antibiotics and various anti-inflammatory drugs.

Tip 2: How to diagnose spikes

Spikes are seals made from connective tissue,They are formed as a result of the influence of various factors and are the cause of the fusion of the internal organs. Currently, the diagnosis of adhesions is not difficult.

When there are spikes

The most common cause of this pathologyare operations on the organs of the abdominal cavity and small pelvis. Normally, after surgery, the body must regain its former state - heal, but sometimes the healing process develops into a commissural disease. Usually this happens when rough manipulations are performed, as a result of which hypoxia or tissue ischemia occurs. The wrestling of organs is also provoked by their drying during the operation, the separation of earlier adhesions and the presence of foreign bodies (fibers from gauze tampons, talc from surgical gloves) in the wound. In addition, the causes of adhesions can be trauma to internal organs and the presence of an inflammatory process in the body.

Symptoms of an adhesion disease

This pathology can proceed in different ways. In some cases, it manifests itself with a sudden or gradually increasing pain syndrome and increased intestinal peristalsis, which may be accompanied by an increase in body temperature and vomiting. With the development of intestinal obstruction develops weakness caused by dehydration and lowering blood pressure. Often the pains occur periodically and have varying intensity, at times they may be disturbed by diarrhea, constipation and vomiting. Prolonged course of the disease is usually accompanied by a feeling of discomfort and aching pain in the abdomen, a violation of overall health and repeated attacks of intestinal obstruction.

Methods of diagnosis

When the diagnosis of adhesions of organsThe abdominal cavity usually takes into account its clinical manifestations, the results of X-ray studies, electrogastroenterography and nuclear magnetic resonance. A popular method of investigation is laparoscopy, which allows not only to detect adhesions and assess the severity of pathology, but also to conduct adequate treatment. Adhesive disease of the pelvic organs can be detected with a normal gynecological examination, during which the incorrect arrangement of organs or disturbance of their mobility is determined. The most informative diagnostic methods are laparoscopy and hysterosalpingography (X-ray examination with the introduction of a contrast medium into the uterine cavity). With ultrasound, it is almost impossible to identify a commissural disease, the doctor only makes a preliminary diagnosis when indirect symptoms are found.