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Treatment of Peritoneal Adhesions

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Diagnostic tests for peritoneal adhesions
 from  358
Adhesions treatment with laparoscopic adhesiolysis
 from  2426
General therapeutic rehabilitation
 from  565.57

Academic Hospital Brothers of Mercy Munich

10/10
location_onGermany, Munich

Department of General and Abdominal Surgery

According to the Focus magazine, the Academic Hospital Brothers of Mercy Munich ranks among the top German hospitals in the Federal State of Bavaria! The hospital is a modern medical facility with the highest level of medical care and long traditions. The hospital operates on the basis of the Technical University of Munich and t
Diagnostic tests for peritoneal adhesions
1469
Adhesions treatment with laparoscopic adhesiolysis
7601

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of General, Abdominal and Transplant Surgery

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Diagnostic tests for peritoneal adhesions
1652
Adhesions treatment with laparoscopic adhesiolysis
8869

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of General, Abdominal and Vascular Surgery

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Diagnostic tests for peritoneal adhesions
2054
Adhesions treatment with laparoscopic adhesiolysis
11226

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of General and Abdominal Surgery

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Diagnostic tests for peritoneal adhesions
1591
Adhesions treatment with laparoscopic adhesiolysis
8400

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Abdominal, Thoracic and Vascular Surgery

According to the prestigious Focus magazine, the University Hospital Carl Gustav Carus Dresden is among the top three hospitals in Germany! The hospital is the embodiment of the standards of modern high-quality medicine. Since the hospital positions itself as a maximum care medical facility, it represents all medical fields. The
Diagnostic tests for peritoneal adhesions
1838
Adhesions treatment with laparoscopic adhesiolysis
9928

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Abdominal, Thoracic and Vascular Surgery

The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
Diagnostic tests for peritoneal adhesions
1500
Adhesions treatment with laparoscopic adhesiolysis
7635

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of General and Abdominal Surgery

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Diagnostic tests for peritoneal adhesions
1527
Adhesions treatment with laparoscopic adhesiolysis
7900

University Hospital RWTH Aachen

9.2/10
location_onGermany, Aachen

Department of Adult and Pediatric General, Abdominal, Transplant Surgery

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
Diagnostic tests for peritoneal adhesions
1652
Adhesions treatment with laparoscopic adhesiolysis
8634

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of General, Abdominal and Vascular Surgery

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Diagnostic tests for peritoneal adhesions
1447
Adhesions treatment with laparoscopic adhesiolysis
7155

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of General, Abdominal and Transplant Surgery

According to the Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all field
Diagnostic tests for peritoneal adhesions
0
Adhesions treatment with laparoscopic adhesiolysis
0

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of General, Abdominal, Vascular and Endocrine Surgery

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Diagnostic tests for peritoneal adhesions
1543
Adhesions treatment with laparoscopic adhesiolysis
8073

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of General, Abdominal and Thoracic Surgery

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Diagnostic tests for peritoneal adhesions
1844
Adhesions treatment with laparoscopic adhesiolysis
10019

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of General, Abdominal, Transplant, Vascular and Pediatric Surgery

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Diagnostic tests for peritoneal adhesions
1546
Adhesions treatment with laparoscopic adhesiolysis
7969

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of General, Abdominal, Adult and Pediatric Transplant Surgery

According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
Diagnostic tests for peritoneal adhesions
1613
Adhesions treatment with laparoscopic adhesiolysis
8410

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Surgery

According to the prestigious FOCUS magazine, the University Hospital Rechts der Isar Munich ranks among the Germany's top medical institutions! Founded in 1834, the hospital combines long traditions and the very latest achievements of modern medicine. The medical facility includes 33 specialized departments, 20 interdiscipli
Diagnostic tests for peritoneal adhesions
1682
Adhesions treatment with laparoscopic adhesiolysis
8957

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of General, Abdominal and Transplant Surgery

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Diagnostic tests for peritoneal adhesions
1532
Adhesions treatment with laparoscopic adhesiolysis
7913
| from Booking Health GmbH

Adhesions of the abdominal cavity mainly occur after surgical interventions, especially abdominal ones. Adhesions are less likely to form after laparoscopic operations. Intestinal adhesions are the main cause of small bowel obstruction. Intestinal adhesive disease often requires surgical treatment. This is a serious medical condition with a mortality rate of up to 15-20%. 

Content

  1. Causes
  2. Adhesion severity scoring system
  3. Symptoms
  4. Diagnostics
  5. Treatment principles
  6. Surgery for adhesive disease treatment
  7. Where to undergo treatment

Causes 

 

In 75% of cases, the cause of adhesions is a surgical intervention. Other causes may include inflammatory processes, abdominal trauma, congenital anomalies. Not all people develop adhesions even after major surgery. For them to appear, there must be a genetic predisposition.

Adhesion severity scoring system 

 

Below is adhesion severity grading: 

  • Grade 1 – the process is limited to the area of the postoperative scar. 
  • Grade 2 – single adhesions develop in other areas of the abdominal cavity. 
  • Grade 3 – adhesions occupy a third or more of the entire abdominal cavity. 
  • Grade 4 – adhesions occupy two thirds of the abdominal cavity. 

Symptoms 

 

Symptoms may manifest themselves suddenly or progress gradually. The main manifestations are as follows:

  • High body temperature. 
  • Nausea. 
  • Vomiting. 
  • Abdominal pain. 
  • Bloating. 
  • Unstable stool. 
  • Vomiting that occurs during exercise. 

Diagnostics 

 

The standard diagnostic method is radiography, but it is informative only 50% of the time.

In recent years, ultrasound has been increasingly used. This diagnostic test is inexpensive, fast, painless, and does not give radiation exposure. It can be repeated many times to assess the state of the bowel over time.

Doctors abroad often use computed tomography. This is the most accurate diagnostic method. It is more expensive and is associated with a higher radiation load on the body than X-ray scanning. Therefore, a CT scan is not performed for all patients with intestinal obstruction and adhesions. It can be used in uncertain diagnostic situations. The main role of the CT scan is to determine if a patient needs an operation. The diagnostic method provides reliable information about the origin of intestinal obstruction. The doctor can exclude cases when this pathology is not associated with adhesive disease, and also determine whether the intestinal obstruction is complete.

The diagnostics can be made using a water-soluble contrast agent taken orally. Barium sulfate contrast agent, which is standard for bowel examination, cannot be used in such cases. If the bowel is perforated, it can enter the abdominal cavity and cause complications.

MRI can rarely be used. The technique can be used instead of CT scanning if there are contraindications for this diagnostic option or iodine-containing contrast media (it is administered intravenously).

Treatment principles 

 

In about 70% of cases, improvement can be achieved with the help of conservative therapy. Doctors use medications such as enzymes, glucocorticoids, antispasmodics, anticholinesterase drugs, fibrinolytics, and anticoagulants.

In 30% of cases, surgical treatment of chronic adhesive disease is required. The indications for surgery are as follows:

  • Conservative treatment of adhesions of the abdominal cavity does not give any effect. 
  • Deteriorated patient's condition. 
  • Development of acute intestinal obstruction. 

Surgery for adhesive disease treatment

 

To provide treatment of adhesions of the abdominal cavity, the following surgical interventions can be performed: 

Laparoscopic surgical adhesiolysis is the main surgical procedure in Europe. Doctors perform dissection and separation of adhesions to restore the patency of the small intestine. Studies have shown that laparoscopy is as effective as open surgery. This allows for achieving a number of advantages:

  • Lower risk of complications.
  • Less tauma. 
  • Lower risk of new adhesion formation.
  • Speedy recovery of patients after surgery. 

Bowel resection is performed in case of its death. With intestinal obstruction, its blood supply is disrupted. As a result, the intestinal wall can be irreversibly damaged. The doctor removes part of the small bowel and makes an anastomosis – connects the ends of the bowel to restore the continuity of the gastrointestinal tract.

Enteroplication is the suture of the intestinal mesentery in order to restrict mobility. It is used to prevent the repeated development of adhesive obstruction of the small intestine.

lleotransverse anastomosis is the formation of a bypass for moving the food bolus from different parts of the small intestine into the transverse colon (part of the large intestine).

Where to undergo treatment 

 

If you develop intestinal adhesive disease, you can go abroad for treatment. The Booking Health specialists will select the best hospitals for the treatment of adhesive disease abroad for you. We will take care of the arrangement of your urgent treatment and emergency surgery in one of the developed countries.

There are several reasons for you to undergo treatment of abdominal adhesions abroad: 

  • In most cases, surgical adhesiolysis is performed using laparoscopic techniques rather than open ones.
  • Preference is always given to sparing operations without removing a part of the bowel.
  • Minimum probability of switching from laparoscopy to open surgery.
  • Possibility of minimally invasive treatment of adhesions of any localization: adhesions of the abdominal cavity, adhesion of the small pelvis.
  • Doctors use anti-adhesion barrier agents such as Seprafilm bioresorbable membrane. They separate the wound surfaces for the time required for the regeneration of the peritoneum.
  • Low risk of complications.
  • Successful performance of even the most complex surgical procedures.
  • High-quality postoperative care and complete recovery.

Please leave your request on the Booking Health website. Our specialist will contact you within just a few hours. If you book a medical care program through our service, the cost of treatment will be lower due to the lack of additional coefficients for foreign patients. You can compare prices in different hospitals in order to book your treatment at the best price.

Authors: Dr. Vadim ZhiliukDr. Sergey Pashchenko




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