Adhesions and C-Sections
After any abdominal surgery, it is fairly common to develop scar tissue, or adhesions, and c-sections are no exception. Adhesions from c-sections may or may not cause problems, but if they do, treatment options include another surgery to release the adhesions or surgery to remove an associated bowel obstruction.
An adhesion is scar tissue that forms a connection between tissues or organs that are not normally connected.
After abdominal surgery, such as a c-section, adhesions can form between the intestines, uterus, fallopian tubes, ovaries, bladder, and other organs. The scar tissue may tighten around the bowel and either partially or completely close it off. This may cause bowel obstruction. If this happens, food that is being digested can't move past the obstruction. This can cause symptoms such as:
- Expansion of the bowel
- Severe abdominal or pelvic pain.
Significant adhesions may be present and cause no serious problems. But sometimes, just a small adhesion can cause a lot of pain, or even a bowel obstruction.
Treatment depends on where the adhesions are and what kinds of problems they cause. If adhesions do cause significant pain or bowel obstruction after your surgery, your healthcare provider will talk with you about what is best for your situation. It might be necessary to have another operation to release the adhesions. This may solve the problem, but in some cases, the adhesions come back and the situation can be worse.