Op.Dr. Nurettin Türktekin
Intra Abdominal Adhesions

Intra Abdominal Adhesions

Intra-abdominal adhesion is a condition where internal organs adhere to each other or to the walls of the abdomen.

This issue often arises as a result of abdominal conditions such as surgical procedures, infections, sexual intercourse, traumas, or inflammations. Intra-abdominal adhesions can restrict the normal movement of internal organs like the intestines, uterus, and ovaries. This situation can impede the proper function of the organs and lead to symptoms such as pain, digestive problems, and bloating. Furthermore, this condition can complicate surgical interventions and lead to complications.

"How to decrease intra abdominal pressure?" is a very common question. They are usually diagnosed when they cause discomfort or necessitate surgical procedures. The treatment approach can vary based on the severity of symptoms, the location of the adhesiveness, and the overall health of the patient. Surgical interventions may be required to address the issue and restore normal organ movement.

What Are the Symptoms of Intra-Abdominal Adhesions?

Intra-abdominal adhesions can give rise to localized discomfort, digestive issues, and various other symptoms. Abdominal pains are one of the most common symptoms of these adhesions. Patients may experience pain or discomfort in this region. This can sometimes be confined to a specific area, while in other cases, it might be more diffused. Additionally, this discomfort can affect the normal movement of the stomach or intestines, leading to nausea and vomiting.

Moreover, these adhesions can cause abdominal bloating by restricting the normal movement of the intestines. In some instances, they can also compress the urinary or intestinal pathways, resulting in difficulties with urination or defecation. In women, pelvic adhesions can influence the menstrual cycle, leading to painful periods or irregular menstrual patterns.

Diagnosis of Intra-Abdominal Adhesions

Various methods and imaging techniques are used to diagnose intra-abdominal adhesions. These methods are employed to gather the necessary information for an expert to assess the symptoms and make an accurate diagnosis. During the examination, the doctor can evaluate pain, tenderness, swelling, or abnormalities. The findings can also prompt the doctor to request further imaging or tests. They can also answer this question: "What is intra abdominal pressure?"

X-ray images of this region can be taken. These images can reveal signs of intra-abdominal adhesions or intestinal obstructions. One commonly used imaging method, ultrasound, uses sound waves to create images of internal organs. This technique can provide insights into the organs and their conditions. Additionally, CT scans offer detailed imaging through cross-sectional images. They can provide a better view of the necessity for surgery and its possible causes.

In addition to these, hysteroscopy is a medical imaging and procedural technique used to examine or perform certain surgical procedures within the uterine cavity and its wall. A specialized instrument called a hysteroscope is used for this procedure. This device is a flexible tube containing a small camera and a light source, and it's inserted into the uterine cavity through the vaginal canal. It can be used for diagnostic or treatment purposes.

How Is Intra-Abdominal Adhesion Surgery Performed?

Surgery for intra-abdominal adhesions is carried out to alleviate chronic pelvic pain and restore the free movement of internal organs. These surgeries are generally performed using laparoscopy or open surgery, however, closed one is the more frequently chosen option due to its greater comfort.

In the minimally invasive laparoscopic method, the patient is first administered general anesthesia, ensuring they are asleep and pain-free during the procedure. Small incisions are made as needed, depending on the condition of the abdominal cavity. These incisions are used to insert a thin camera called a laparoscope and surgical instruments. This camera provides a visual of the internal organs in the area, allowing for the identification of the location and extent of adhesions.

Using the instruments employed in laparoscopic surgeries, adhesions are carefully separated. Problematic areas can be repaired or excised with specialized surgical tools. This process removes the connections in the affected region. The surgical area is reviewed, bleeding is controlled, and additional interventions are performed if necessary. Incisions are closed with stitches or adhesive. The duration of the operation can vary based on the patient's condition, the extent of the adhesions, and other factors. The postoperative period and length of hospital stay for recovery will depend on the recommendations of the medical professionals.

Common Questions About Intra-Abdominal Adhesions

The question of whether intra-abdominal adhesions affect pregnancy is frequently asked. Uterine issues, which can be seen in about one out of every five women on average, can lead to significant problems if left untreated. Especially after a cesarean section, the symptoms of intra-abdominal adhesions can be severe. Another concern of patients is whether "Can uterine adhesions recur?" The risk of adhesion recurrence exists.

The more effective and comprehensive the initial intervention is, the lower the likelihood of the problem recurring. Additionally, hormonal fluctuations or other issues can contribute to the recurrence of this condition. However, following the recommendations of the specialist after a successful procedure and undergoing a healthy recovery process significantly reduces the risk of recurrence.

Dr. Nurettin Türktekin, with 12 years of IVF experience, a patient-centered approach, and a value for the effective use of advanced technology, has helped many individuals and achieved successful results. He has worked at the Istanbul IVF Center for an extended period. As of June 2021, he has opened his own clinic and continues to provide services to patients. To obtain information about all procedures and to schedule an appointment, please contact us using the provided contact information.



Ovarian cysts are fluid-filled sacs or vesicles seen inside the ovary. Normally, during each menstrual period, a cyst called a follicle, which carries the egg cell and can reach 3 cm in size, forms in the ovaries. Then this cyst cracks and the egg is released. In young girls with ovulation problems, normal or physiological follicle cysts that cannot rupture can grow every month and reach 5-10 cm, while small numbers of 0.5-1 cm in size, which we call polycystic ovaries, can be seen in series. Apart from these functional cysts, benign or malignant ovarian cysts can also be seen in all age groups.

Except for the most common functional ovarian cysts, cysts can be benign or malignant tumoral cysts. In addition, as a result of infection, abscess-shaped cysts may occur, which is usually accompanied by pain and high fever.


Complications of adhesions may include chronic abdominal pain, digestive issues, menstrual problems, and reproductive difficulties.

In the early stages, symptoms of uterine adhesions might be mild and include abdominal pain, irregular periods, and light spotting.

The recovery process after laparoscopic surgery is generally faster. Patients may experience less pain and have a shorter hospital stay. However, it's important to remember that adhering to postoperative recommendations significantly influences the recovery duration.

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