Adherences or intestinal bands: what they are, causes and how to treat them

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The joints or intestinal adhesions are membranes or cords of scar tissue that generally form after surgery or abdominal inflammation. These scars are able to unite different organs or parts of the intestine to each other, thus causing cases of intestinal occlusion, abdominal pain, infertility or pain during intimate contact.

Abdominal and intestinal joints are the most common, they may occur in a region with many organs and tissues nearby. To treat this situation, it is necessary to perform a surgery by laparoscopy with the purpose of removing the adhesions, a procedure called lysis of bands.

On the other hand, the amniotic bands are adhesions that form inside the amniotic sac throughout the baby’s development, these can unite or tighten the extremities of his body, being a risk of developing deformities or malformations.

how they form

The adhesions are cords of scar tissue and fibrous tissue that form days, months or years after surgery. These occur mainly due to the manipulation and dislocation of the organs during the procedure, generally when there are situations such as contact with talc from surgical dressings, burns, compression of the tissues or decrease in blood circulation during cauterization and sutures.

In this way, the bands can occur in any person who has undergone an abdominal surgery, however, these cases are less and less frequent due to the new technologies and better materials used in the surgical procedure.

In addition to the surgeries, other situations that cause the emergence of bands are:

  • abdominal inflammationsas a result of an inflammatory bowel disease or an infection, for example;
  • intestinal ischemiawhen the blood supply is interrupted, which causes infarction and tissue necrosis;
  • blowsdue to injuries in accidents;
  • Presence of foreign bodies on the abdomenas suture hila;
  • congenital bandsthat you meet in the person at birth.

All these situations occur due to an inflammation or an incorrect and irregular healing of the tissues in the abdominal organs.

The bands cause adhesions between organs that, in most cases, unite different parts of the intestine or other organs, such as the peritoneum, bladder, uterus, ovaries and stomach. In this way, the main consequences of this situation are:

  • Abdominal pain;
  • Alteration of intestinal rhythm and formation of gases;
  • Abdominal swelling;
  • Nausea and vomiting;
  • Pain during intimate contact;
  • Infertility and difficulty in achieving embarrassment;
  • Intestinal obstruction, in which there is a stretching of the intestine that causes its “strangulation” and stops the elimination of heces.

Most cases of intestinal obstruction or occlusion are caused by bands, which is considered a medical emergency, therefore, in case of symptoms that indicate this situation, it is necessary to seek medical attention, as it can cause intense intestinal inflammation. and even provoking la muerte. Learn more about the dangers of intestinal obstruction and how to treat it.

To identify the adhesions, the doctor can carry out a clinical evaluation and request imaging tests, such as abdominal radiography and computerized tomography, which can show some signs of this situation, however, the joints can always be observed through these exams, since these are situated between the organs.

In this way, when there is a great suspicion and when other causes have been ruled out through the exams, the bands can be confirmed during a new surgery, which will serve to detect their locations and remove them.

How is the treatment performed?

The treatment to relieve the most common symptoms caused by adhesions, such as cramps and abdominal gas, may be indicated by the general physician or gastroenterologist using analgesics, such as paracetamol; antispasmodics such as la Hioscina; and drugs to reduce gas, such as Dimethicone.

However, when the bands cause severe symptoms or a case of intestinal occlusion, or when they compromise the functioning of other organs, it may be indicated to perform the surgery of lisis of bands, preferably by laparoscopy, in which there is a minor manipulation of the band. abdomen to remove scars and adhesions, preventing the emergence of new bands. Find out how it is performed and what laparoscopic surgery is used for.

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Consult a Doctor | Translated by User2937

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The translator user relied on the following text:

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Disclaimer – (English version>) This content has been prepared based on information from research, additional publications, or the translation/verification work of a volunteer editor of this web council. This is a non-profit service. It is strongly recommended that all details and information published be carefully verified. We never allow medication recommendations, medication package inserts or any medication guidance. We never allow partisan politics as information.

Isenção de responsabilidade – (versão em português): Este conteúdo foi preparado com base em informações de pesquisas, publicações adicionais ou no trabalho de tradução/verificação de um editor voluntário deste conselho web. Este é um serviço sem fins lucrativos. É altamente recomendável que todos os detalhes e informações publicadas sejam verificadas cuidadosamente. Nunca permitimos recomendações de medicamentos, bulas ou qualquer orientação sobre medicamentos. Nunca permitimos a política partidária como base para checagem. Para mais informações, leia nossos termos.

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