Adhesiolysis during Gastric Bypass surgery advice

[michymoo 1]

Hi all. I'm 4 days post op and having severe pains in my lower abdomen which make it difficult to move around. I called the on call registrar last night who wasn't concerned as I'm feeling well otherwise, tolerating fluids etc. The pain is really bad however. I have read my notes today and after googling the jargon it seems they found a lot of adhesions in my pelvis which they removed (adhesiolysis). Has anyone else had this done? I'm wondering if this level of pain is to be expected or if something is wrong?

All advice welcome.

[James Marusek 5,244]

I don't know. Pain is normally a sign that something is wrong. If the pain is severe, call your surgeons office again.

My family doctor is a case in point. Whenever he sees a patient and they complain about a problem, he ignores it. It is only the second time that you bring it up, that he begins to take the problem seriously.

[kjwrn 129]

Adhesiolysis, is basically when they cut bands of scar tissue that can form from a previous abdominal surgery.

4 days post op, I would expect pain, and probably even worse pain than the first two days as you start to get some energy back, as a post op nurse I always tell people around day 3 seems to be the worst. Did they do the adhesiolysis and gastric bypass at the same time 4 days ago? Either way, esp since it is now business hours I would contact the physicians office and inform your surgeon. Pain that comes and goes or moves all around is generally a little less concerning than constant pain that stays in the same place. Generally, adhesiolysis can help improve pain afterwards as you don't have the scar tissue that can cause bowel obstructions and other problems. But since you are having an increase in pain I'm sure they would want to know. I would also check your temperature ( and blood pressure and pulse of possible) before calling.

[michymoo 1]

Thank you so much for your replies.

I've been unable to log in to post on here for some reason.

I spoke to the hospital and they stated that the pain was from them having to cut away a lot of scar tissue from 2 previous c sections from 1997 and 2000 during the bypass as it was obstructing. I am feeling well other than the pain. I am tolerating Fluid really well and building in Protein everyday. I have no temperature, blood pressure is good and the hospital confirmed that I would not be doing so well if it was a problem with the surgery itself.

I'm happy that I know what it is and they have put my mind at ease. I have been given stronger pain killers and some liquid stuff for Constipation as I'd not had a bowel movement. I have now!! So onwards and upwards.

I'm still not hungry but enjoy the smell of the food the family are eating. I'm excited to have finally got the op after being in the system for 2 and half years.

Feeling really positive. Sore, but positive.

[Shrinkinqtpi 202]

@@michymoo

Thank you for updating us. It is good to hear that you are progressing so well and have support from everyone. This is the beginning of your new life. Be blessed and take it slow.

[Syl 153 35]

Can gallbladder removal surgery make you have this adhesiolysis

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[Syl 153 35]

I have also had a c section .38 years ago

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[michymoo 1]

@@Syl 153

Adhesiolysis is the term they use for cutting always the scar tissue that has stuck to other organs I think. You get these adhesions from any surgery.