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Ask Doctors - Get Video Answers in HINDI Subscribe to - / @doctorscirclehindi for HINDI videos Adhesions are basically organs sticking to each other or organs sticking to the wall of the abdomen or the pelvic cavity. Here let us talk about the pelvic cavity adhesions which are very important in the ladies of the reproductive age group or otherwise also. Here the organs that is the uterus, tubes, ovaries, and the lower part of the intestine, they either get stuck to each other to the wall of the pelvic cavity. Why we have to deal with adhesions or what is adhesions giving us any trouble otherwise. If adhesion is there it makes bowel movement a little uncomfortable and they collect some fluid inside, the peritoneal fluid and they give pain for the lady and it is always better in such cases that the lady is investigated and we take care of the adhesions. So laparoscopy is the best way to take care of adhesions and the procedure we do is adhesiolysis. So in this what we do is try and remove whatever adhesions we have safely in the pelvic cavity and make the pelvic organs free of each other. Why these adhesions they happen. Adhesions can happen because of some previous surgery or some previous infection or the biggest culprit what we have found is of endometriosis. Endometriosis can be of ovaries, any other organs in the pelvic cavity and it is the nature of the endometriosis that there is seepage of blood happening from the surface of the endometrioma and that blood and the serious fluid that is seeped out seals one organ to the other or to the pelvic wall and that is how the adhesions happen. These adhesions are very painful and come in the way of reproduction in any of conceiving of the couple and that is how the couple should be dealt with and removed. Adhesions are known to repeat and we have to keep a good watch and good follow up of the girls who have undergone adhesiolysis and they should be asked to conceive as early as possible if that is the reason why they have come to us for adhesiolysis. Ofcourse pain relief is also a major thing that we can do we can really help the girls by doing laparoscopic adhesiolysis. So these two are the major things where laparoscopic adhesiolysis where it can cause a problem and how we can help it but laparoscopic adhesiolysis is the main stay in such cases.