Adhesion in the intestines after appendicitis


Adhesion after appendicitis

Modern medicine quite often faces the problem of appendicitis. This operation is considered the most common surgical intervention on the abdominal organs. Appendicitis is quite common in both adults and children. After such an operation, complications may arise. For example, spikes.

What is a spike after an operation of appendicitis

Spikes are films that form between internal organs. They appear due to the irritation of the shell, which covers the internal organs. As a rule, spikes affect the interaction of organs, after which their work is difficult. For men, spikes are not a serious danger, but women can easily be diagnosed with infertility, which, unfortunately, does not always give in to treatment.

Symptoms of adhesions after appendicitis

Most often there are spikes after appendicitis. Symptoms are as follows:

  • pain - it can be absent for a long time. As a rule, it is localized in the area of ​​postoperative scar. Most often, it has a pulling character and can increase after physical exertion;
  • dyspeptic syndrome - digestion is disrupted due to improper operation of the intestine;
  • infringement of a defecation - there are constipations, the chair is absent more than days;
  • complete absence of stool for more than two days.

Possible complications of adhesive process

Spikes after appendicitis can lead to serious complications.


For example, acute intestinal obstruction may develop. It arises from the squeezing of the intestine, which in turn prevents the passage of food in the intestine. In addition, necrosis of the gut region is possible. Because of a violation of her blood supply, which is provoked by a jammed artery, the intestinal walls die. This condition requires immediate removal of this part of the intestine.

Diagnosis of the disease

In case of symptoms of adhesive process in the abdominal cavity, as well as the presence of surgical intervention when removing appendicitis, it is necessary to carry out diagnostics.

First of all, a clinical blood test is needed, which will indicate the presence of an inflammatory process in the body. It is also necessary to perform ultrasound examination of the abdominal cavity organs.

Thanks to ultrasound, you can visualize the presence of adhesions.

Such examination should be carried out after appropriate preparation of the intestine.

In addition, radiography with a contrast agent is performed. The patient on an empty stomach must drink a barium mixture. By the presence of defects in the filling of the intestine, the picture of the disease will be understood. No less important is diagnostic laparoscopy. For this purpose, a special fiber-optic tube is inserted into the peritoneal cavity. It is equipped with lighting and a camera. With the help of this method of diagnosis, the state of the intestinal loops is studied and the presence of adhesions is determined.

Treatment of adhesions after appendicitis

Adhesion after appendicitis is a rather common complication after surgery.

Treatment of adhesions is carried out by surgical dissection and release of the pinched intestinal loops.

Before surgery, it is necessary to observe the fractional use of food in small portions. There is also a cleansing enema. If intoxication occurs, intravenously drip solutions that help remove toxins from the body. Anesthetic pains are used in case of acute pain in the abdomen.

Surgical treatment of adhesions after appendicitis is possible by laparoscopy or laparotomy. The choice of treatment tactics depends on the patient's age, concomitant pathologies, the number of adhesions, and the presence of complications of intestinal adhesions.

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How to avoid adhesions after appendicitis and why they are formed

Spikes in the intestinal region are formations of connective tissue, or strands between the peritoneal organs and the intestinal loops. They lead to splicing, as well as gluing the serous membranes of the organs together. This process is greatly facilitated by the tendency of the peritoneum to stick, in particular after the operation. About whether there can be complications and what are the main symptoms, next.

Causes and symptoms of formation

In most cases, spikes are formed after appendicitis or other surgery on the digestive tract.As experts note, they are formed in 15% of patients, while the more complex is the surgical intervention, the higher the probability of occurrence of these formations.In addition to the operation, attention should be paid to other, no less significant factors, in particular abdominal and peritoneal injuries, which may be of a closed or open type.

Also, experts point to the processes of inflammatory and infectious nature, noted in the peritoneal region and their complications. It can be peritonitis, an acute form of appendicitis and much more. No less significant factors that affect the formation of adhesions should be considered:

  1. inflammation of the ovaries, as a complication of caesarean section or removal of appendages - in female representatives;
  2. a genetic factor that is directly related to the processing of enzymes that can provoke an increase in connective tissue volume, especially after surgery;
  3. radiotherapy, which is used to treat cancer. In the process of its conduct, the peritoneum can be injured, which leads to the formation of adhesions, as well as their symptoms.

Particular attention deserves those manifestations that are associated with spikes. The fact is that this is a fairly long process, and therefore the symptoms will also be formed over a long period of time.

In the most rare cases, the patient, even after the previous surgery, there is no evidence of adhesions, and therefore the condition is diagnosed completely accidentally, as part of a routine diagnosis.

Speaking about the main symptoms, it is necessary to pay attention to the painful sensations that arise periodically and are identified in the area of ​​the scar left after the operation. Pain can be more and more powerful after physical exertion. Also, you should pay attention to dysfunction in the digestive system and the digestive tract - this will be expressed in flatulence, bloating, constipation and raspiranii in the navel.

Patients can complain about the problems that will be associated with the act of defecation, namely, stubborn constipation. This phenomenon is directly related to the fact that after the operation the degree of intestinal permeability is broken, which, in turn, is pinched by spikes. In some cases, nausea and even vomiting are formed after eating.It should also be noted that in the course of the chronic course of the adhesive process, especially after the operation, rapid weight loss can be identified.Thus, the symptoms that are associated with the adhesive process are eloquent enough and, if you pay attention to them, you will avoid the formation of complications.

Diagnosis and complications

In some cases, significant complications may arise, which may even be a threat to the survival of the patient. First of all, it is an acute intestinal obstruction, which is formed as a result of pressure by spikes on intestinal tubes. Symptoms of this condition can be accompanied by an increase in temperature indicators, vomiting, the accumulation of gases, as well as a sudden decrease in blood pressure indicators.

Another complication, most often noted after the operation, is necrosis of the intestine. This condition is identified due to destabilization of blood circulation, which leads to necrosis of the walls and arteries. Treatment of this condition can consist only in removing the problem areas of the intestine.

At the same time, complications can not be formed if diagnosis is performed on time, which takes into account all the symptoms. This is a thorough examination and questioning of the patient, as well as the implementation of the following instrumental diagnostic methods: ultrasound, radiography, laparoscopy and CT. Ultrasound makes it possible to visualize the adhesions themselves and their location, radiography is more informative in terms of identifying these formations.

Also, if we talk about laparoscopy, it's important to remember that with its help, it is even possible to dissect adhesions.

In the case of CT, it is possible to reveal the data of education with maximum accuracy, the symptoms of which are not always obvious.

Most often, spikes are identified by ultrasound and the patient is referred for further examinations. About the main methods of treatment next.

Restorative measures

Treatment of adhesions, even if there are complications, is carried out either through surgical intervention or a conservative method. So, for non-essential pains, antispasmodics or analgesics can be prescribed. In addition, within the framework of conservative treatment, it is feasible to use laxative components.An important part of the treatment at this stage should be considered diet compliance, all the features which must be discussed with the doctor in as much detail as possible in order to avoid removal and other interventions.


If the presented measures prove to be ineffective for a long period of time, then a surgical intervention - laparoscopy or laparotomy - is required. In particular, this is necessary if there is a suspected violation of blood supply. However, the main problem is that such an operation can also provoke the formation of adhesions, which is why special care must be taken.

Spikes after appendicitis are a serious consequence of surgical intervention or any damage.

To exclude the process, you should take into account all the symptoms, carry out diagnostics in time and start a recovery course.

Adhesion after appendicitis

The operation for the removal of the appendix is ​​today considered to be the simplest and most harmless. It is carried out in a relatively short time and after itself very rarely leaves any complications. But often the removal of appendicitis can result in a different diagnosis, which sounds like a spike.

It is believed that spikes after appendicitis are the most common complication. It's only to the great regret that very few people treat him with all seriousness.

Such adhesions are formed in the region of the small pelvis or the abdominal cavity. For a man, they do not represent any serious danger, but in women with spikes after removal of the appendix can be diagnosed infertility. Often, this infertility can not be cured. But this happens quite rarely. In addition, a woman can feel unpleasant sensations in the pelvic region, and when passing food, there may be some difficulties. Often, all these symptoms are accompanied by shortness of breath and quite a perceptible pain.

And in men and women, spikes in the intestines can cause severe constipation, which can be very difficult to handle. In addition, often these people have low blood pressure, a sudden and with nothing unrelated increase in temperature and weakness of the whole body.

But spikes should never be ignored. Over time, the adhesive process in the intestine or in the pelvic area can not only develop into a serious disease, but also into a cancerous tumor.

Treatmentadhesions after appendicitiswill depend on the general condition of the patient and on what stage of development the adhesions were found. If they only began to develop, the process can be stopped with the methods of vitamin E or folic acid. Aloe and anti-inflammatory drugs are well suited for treatment. To date, pharmacological companies have developed a number of new drugs that help treat spikes, but to take such pills is only after consultation and examination of the doctor.

If spikes have appeared for a long time, and treatment with drugs does not have any effect, then they resort to the operational method. The most common choice is laporoscopy. This is a low-traumatic and very effective operation, which is carried out in a relatively short period of time with the use of a special apparatus. This operation practically does not leave a stitch and helps to get rid of adhesions once and for life. After the operation, the patient should definitely take a course of therapeutic and preventive physical education.

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