Adhesiolysis
A minimally invasive laparoscopic procedure to divide and release pelvic adhesions — restoring normal anatomy, relieving chronic pelvic pain, and improving fertility in women with scar tissue from endometriosis, infection, or prior surgery.
What is Adhesiolysis?
Adhesiolysis is the surgical division and removal of adhesions — bands of scar tissue that form between pelvic organs following endometriosis, pelvic infection, or previous surgery. These adhesions can bind the uterus, ovaries, fallopian tubes, bowel, and bladder together, causing chronic pain, restricted organ movement, and impaired fertility. Dr. Ashwani Narla performs laparoscopic adhesiolysis at Lux Hospitals, Hyderabad, carefully freeing adherent structures and restoring normal pelvic anatomy with precision to minimise the risk of re-adhesion.
Suitable for women with chronic pelvic pain, subfertility, or distorted pelvic anatomy caused by adhesions from endometriosis, previous pelvic inflammatory disease, or prior abdominal or gynaecological surgery.
How the Procedure Works
Anaesthesia & Access
General anaesthesia is administered. Laparoscopic ports are carefully inserted, with extra caution taken if previous surgery has altered abdominal anatomy.
Adhesion Mapping
The extent and density of adhesions are assessed systematically — identifying all structures involved and planning the safest order of division.
Adhesion Division
Adhesive bands are divided using scissors and energy devices, carefully separating adherent organs and releasing bowel, ovaries, and tubes from surrounding structures.
Restoration of Anatomy
Normal pelvic anatomy is restored as completely as possible. Haemostasis is achieved and surfaces are inspected to ensure no organ injury has occurred.
Closure & Recovery
Ports are closed; anti-adhesion barriers may be applied to reduce recurrence. Recovery is typically one to two days in hospital followed by a gradual return to routine.
Outcomes
Who Needs This Treatment?
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Relieves chronic pelvic pain caused by tethered or distorted pelvic organs
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Improves fallopian tube function and fertility in adhesion-related subfertility
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Restores normal anatomy to facilitate future procedures if needed
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Minimally invasive with small incisions and shorter recovery than open surgery
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Anti-adhesion barriers can be applied to reduce risk of re-adhesion
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Can be combined with treatment of underlying endometriosis in the same sitting
Adhesiolysis is painstaking work — but freeing a patient from years of chronic pain by carefully restoring what scar tissue has distorted is one of the most rewarding procedures we perform.
— — Dr. Ashwani Narla, Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Adhesiolysis Cost in Hyderabad
The cost of adhesiolysis in Hyderabad can vary depending on the location, extent, and density of pelvic adhesions and the condition causing them. Adhesiolysis is a surgical procedure used to separate or release abnormal bands of scar tissue that can cause organs or tissues within the pelvis to stick together. In patients with endometriosis, adhesions may develop as part of the disease process, while previous pelvic infections such as pelvic inflammatory disease (PID) can also contribute to adhesion formation. The estimated cost of adhesiolysis at Lux Hospitals ranges from ₹80,000 to ₹1,60,000, with an average cost of approximately ₹1,20,000.
| Procedure | Approximate Cost Range |
|---|---|
| Dense pelvic adhesions | ₹80,000 ₹1,60,000 |
| Chronic pelvic pain from adhesions | ₹80,000 ₹1,60,000 |
The final cost may differ from the estimated range depending on the patient's individual condition. Factors such as the severity and location of adhesions, the number of structures involved, pre-operative investigations, surgical approach, anesthesia, hospital stay, medications, and any additional procedures performed during the same surgery can affect the total treatment cost. A detailed estimate is generally provided after clinical evaluation and assessment of relevant diagnostic reports.
Factors Affecting Adhesiolysis Cost
The cost of adhesiolysis is not the same for every patient because pelvic adhesions can vary considerably in their thickness, extent, and location. The underlying cause and the complexity of safely separating the adhesions can also influence the duration and resources required for treatment.
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Extent and density of adhesions: Thin, limited adhesions may require less surgical work, while dense or extensive adhesions can make the procedure more complex.
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Underlying condition: Adhesions associated with endometriosis or previous PID may involve different areas of the pelvis and may require condition-specific evaluation and treatment.
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Location of adhesions: Adhesions involving the uterus, ovaries, fallopian tubes, bowel, bladder, or surrounding pelvic structures can affect surgical complexity.
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Pre-operative evaluation: Consultation, pelvic examination, imaging, blood tests, and other investigations may be required to understand the condition before surgery.
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Surgical approach: The approach used for adhesiolysis depends on the patient's condition and the surgeon's assessment. Minimally invasive laparoscopic surgery may be considered in appropriate cases.
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Anesthesia and hospital care: Anesthesia charges, operating-room costs, admission, monitoring, and recovery care can contribute to the overall expense.
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Additional procedures: If another gynecological condition is identified or requires treatment during surgery, the total cost may increase.
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Post-operative care: Medicines, monitoring, follow-up consultations, and recovery-related care may also form part of the overall treatment expense.
Insurance Coverage for Adhesiolysis
Adhesiolysis may be covered under health insurance when it is performed as medically necessary treatment for a diagnosed condition such as symptomatic endometriosis or complications associated with PID. Coverage can differ based on the patient's policy, medical indication, insurer guidelines, waiting periods, exclusions, and whether the procedure is covered under the hospital's cashless network. Patients are advised to confirm coverage and any pre-authorization requirements with their insurance provider before admission.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Ashwani Narla
Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Dr. Ashwani Narla, Consultant Obstetrician, Gynecologist & Laparoscopic Surgeon at Lux Hospitals, Hyderabad, provides evaluation and treatment for gynecological conditions including endometriosis, pelvic adhesions, and conditions associated with pelvic infection. During the consultation, she reviews the patient's symptoms, medical and surgical history, menstrual or pelvic pain history, examination findings, and available diagnostic reports. When adhesions are suspected, the doctor assesses their possible relationship to symptoms such as chronic pelvic pain, fertility-related concerns, or other pelvic symptoms. She then discusses whether adhesiolysis or another treatment approach may be appropriate based on the individual clinical findings. The consultation also provides an opportunity to understand the recommended surgical approach, expected recovery, possible additional treatment, and the estimated treatment cost.
Consultation with Dr. Ashwani Narla Consultation with Dr. Ashwani NarlaCommon Questions
Frequently Asked Questions
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