Adhesions general – What happens after adhesions surgery without any adhesions barrier

Adhesions reformation starts immediately after any surgery. Adhesions reform no later than 72 hours after surgery. An early second-look-laparoscopy following this phase of initial adhesion reformation confirms whether adhesions have reformed.

In cases without adhesion barrier the adhesions just form back, where they were taken down, like in this case, where there was no barrier placement possible due to bowel serosa lesion and so all the adhesions have reformed. During the 2nd look laparoscopy, the adhesions ( or better at this stage “attachments”) are taken down just by aqua-dissection without any bleeding and an adhesion barrier was used to prevent reformation of adhesions.