Pathology of the Gastrointestinal Tract

2017 Edition
| Editors: Fátima Carneiro, Paula Chaves, Arzu Ensari

Abdominal Adhesions

  • Maria Sotiropoulou
Reference work entry


Pelvic adhesions; Synechiae


Peritoneal adhesions can be defined as fibrous bands between two parts of organs or tissues or both which are normally separated. These fibrous bands develop as part of healing processes that occur after any tissue disturbance such as surgery, infection, trauma, or radiation. The abdomen and pelvis are the two most common locations of adhesions.

Adhesions are rarely congenital and more commonly acquired, of which abdominal-pelvic surgery is the most common cause. Less common causes are intraperitoneal infections or abdominal trauma. Congenital adhesions arise during physiological organogenesis, like the frequently observed attachment of the sigmoid colon to the left pelvic wall, or can be traced back to abnormal embryonal development of the abdominal cavity. These are usually asymptomatic and are diagnosed incidentally. Patients who undergo abdominal or pelvic surgery are prone to develop post-operative adhesions in a percentage estimated...

This is a preview of subscription content, log in to check access.

References and Further Reading

  1. Arung, W., Meurisse, M., & Detry, O. (2011). Pathophysiology and prevention of postoperative peritoneal adhesions. World Journal of Gastroenterology, 17(41), 4545–4553.PubMedPubMedCentralGoogle Scholar
  2. Becker, G., & Stucchi, A. (2004). Intra-abdominal adhesion prevention: Are we getting any closer? Annals of Surgery, 240, 202–204.PubMedPubMedCentralGoogle Scholar
  3. Bruggeman, D., Tchartchian, G., et al. (2010). Intra-abdominal adhesions. Deutsches Ärzteblatt International, 107(44), 769–775.Google Scholar
  4. Ellis, H., Moran, B. G., Thomson, J. N., et al. (1999). Adhesion-related hospital readmissions after abdominal and pelvic surgery: A retrospective cohort study. Lancet, 353, 1476–1480.PubMedGoogle Scholar
  5. Liakakos, T., Thomakos, N., Paul, F., Dervenis, C., & Young, R. (2001). Peritoneal adhesions: Etiology, pathophysiology and clinical significance. Digestive Surgery, 18, 260–273.PubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Department of PathologyAlexandra HospitalAthensGreece