Improving Post-Surgery Adhesions: Seeking Solutions for Abdominal Complications - Gastroenterology and Hepatology

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Intestinal adhesion surgery


Dear Dr.
Lin, my father underwent surgery for intestinal adhesions around July 20, 1997, at Tainan Hospital.
After 15 days of eating, he started experiencing vomiting.
The physician has administered nutritional supplements via injection and has lifted the fasting order.
As of September 3, 1996, he has not been discharged and has been found to have serous fluid in the abdominal cavity.
What methods can be employed to improve his condition, or should he be referred to a teaching hospital?

Zhao, 30~39 year old female. Ask Date: 2007/09/04

Dr. Liu Nanshan reply Gastroenterology and Hepatology


Why is there fluid in the abdominal cavity, what surgical procedure is performed, and what is the subsequent treatment plan? This should be discussed with the surgeon.

Reply Date: 2007/09/04

More Info


Post-surgery adhesions are a common complication that can occur after abdominal surgeries, including those involving the intestines. Adhesions are bands of scar tissue that form between internal organs and tissues, often as a result of the healing process following surgery. They can lead to various complications, including bowel obstruction, chronic pain, and issues with digestion. In your father's case, the development of adhesions after surgery has resulted in symptoms such as vomiting and fluid accumulation in the abdominal cavity, which can be concerning.

To address your question about improving post-surgery adhesions and managing abdominal complications, here are several strategies and considerations:
1. Understanding Adhesions: Adhesions can form due to inflammation, surgical trauma, or infection. They may not always cause symptoms, but when they do, they can lead to significant discomfort and complications. It's essential to monitor symptoms closely and communicate with healthcare providers about any changes.

2. Nutritional Support: Since your father is currently receiving nutritional support via injections and has been advised to stop eating, it is crucial to ensure that he receives adequate nutrition to support healing. Parenteral nutrition can provide the necessary nutrients while avoiding the stress of digestion on the gastrointestinal tract. Once he is stable, a gradual reintroduction of oral intake may be considered, starting with easily digestible foods.

3. Fluid Management: The presence of fluid in the abdominal cavity (ascites) can be a sign of underlying issues, such as infection or inflammation. It is important for the medical team to evaluate the cause of the fluid accumulation. In some cases, procedures such as paracentesis may be necessary to drain excess fluid and relieve symptoms.

4. Physical Activity: Gentle movement and physical therapy can help reduce the risk of adhesions forming. After surgery, patients are often encouraged to engage in light activities as tolerated, which can promote circulation and healing. However, this should be done under the guidance of healthcare providers, especially in the context of existing complications.

5. Follow-Up Care: If your father's condition does not improve or worsens, it may be necessary to consider a referral to a specialized teaching hospital where he can receive comprehensive care. Specialists in gastrointestinal surgery or a multidisciplinary team may provide additional insights and treatment options.

6. Surgical Options: In some cases, if adhesions are causing significant problems, surgical intervention may be required to release the adhesions. This decision should be made carefully, considering the risks and benefits, and should involve a thorough discussion with the surgical team.

7. Monitoring Symptoms: It's essential to keep track of any new or worsening symptoms, such as increased abdominal pain, changes in bowel habits, or signs of infection (fever, chills). Prompt reporting of these symptoms can lead to timely interventions.

8. Patient Education: Educating your father and the family about potential signs of complications and the importance of follow-up appointments can empower them to seek help when needed.

In summary, managing post-surgery adhesions and related complications requires a comprehensive approach that includes nutritional support, careful monitoring, and possibly surgical intervention. Collaboration with healthcare providers is key to ensuring the best possible outcomes. If your father's condition does not improve, seeking a referral to a teaching hospital for specialized care may be beneficial.

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