Hysterectomy Support Group

Adhesions in endometriosis
by Lone Hummelshoj
Women with endometriosis describe the pain associated with adhesions as "stabbing, sharp, pulling, sickening, intense and nauseating" whereas adjectives most commonly used to describe active endometriosis pain itself are "burning, pinching, dull, heavy, and miserable" [1].
Adhesions are bands of fibrous scar tissue, which forms inside the body. They can be found anywhere in the body between almost all organs and tissue. For women with endometriosis, they may bind an ovary to the side of the pelvic wall, or they may extend between the bladder and the uterus, etc.
*Whilst adhesions are more often than not spoken of as a postoperative complication then this does not necessarily hold entirely true for women with endometriosis, even though they, of course, are a group of people who often have had numerous surgeries and thereby, by that factor alone, increase their risk of developing further adhesions [2].*
Endometriosis, however, can cause local inflammation, which is a key factor in adhesion formation. Adhesions may therefore form as a result of endometrial implants bleeding onto the area around them, causing inflammation, which again leads to the formation of scar tissue as - ironically - part of the healing process. Unfortunately, sometimes this injured tissue does not just form a scar it comes into contact with another inflamed area nearby and forms a band of scar tissue - an adhesion - between these two areas. Adhesions vary in appearances from thin, flimy and transparent to thick, dense, and opaque. In some cases, adhesions have been found to such a extent throughout the pelvis to create what is known as a "frozen" or "fixed" pelvis.
Just like endometriosis itself, adhesions can cause pain and subsequently affect a woman's quality of life to the extent that her day-to-day activities are impaired [3,4].
Yet, whilst the problem of adhesions in endometrisis is widely recognised, there is at the moment no way of preventing them, when caused by the disease alone, nor a fool proof profylactic which can be applied during surgery, though many companies are at present working on finding a product which prevents adhesions.
[Again, I personally did not write this, etc. just merely copied and pasted this information to help people, including myself., "Fire".]
Posted on 10/31/09, 03:10 pm