Has anyone ever had a laporoscopy to remove adhesions only to have the adhesions come back in a few months?

Question

My Doc tell me this isn't posible but I have the same pain again. I had the surgery in december of 2006 and the pain came back in february of 2007. I am having another laporoscopy thursday,anyone else out there with a similar expewrience? And can the scar tissue and adhesions form again that fast?

Answer 1

You will need to have a mechanical barrier ("foil") in order to prevent adhesion regrowth following laparoscopic and/or open surgery.

"An important paradox is that the current method of
managing adhesions – surgical adhesiolysis – is
complicated by further traumatic disruption and a
high rate of adhesion reformation (mean 85%),
regardless of the method of adhesiolysis or the type of
adhesion. Studies indicate that compared with
unaffected peritoneal tissue, adhesive tissue contains
higher levels of growth factors, suggesting the greater
likelihood of adhesion reformation. As these factors
depress fibrinolytic activity and induce tissue fibrosis,
it is not surprising that reformed adhesions tend to be
more dense and severe than de novo adhesions."

... Meaning the more surgery you have the worse things can be ... but obviously with newer methods (i.e., foil barriers) hopefully the cycle can be closed.

http://www.touchbriefing.com/pdf/1816/ACF427D.pdf

http://www.karensteward.typepad.com/

Answer 2

Yes, the adhesion's can reform again. They probably didn't cauterize enough of the previous scar tissue. You should get a different surgeon to do it. He/she may have a better technique that works for you.