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Adherencias - Treatment

Nombres alternativos

Adherencia intrauterina; Adherencia pélvica; Adherencia intraperitoneal

Tratamiento:

Se puede realizar una cirugía para separar las adherencias. Esto a menudo permite el movimiento normal del órgano y reduce los síntomas causados por las adherencias; sin embargo, el riesgo de presentarse más adherencias aumenta, a medida que se incrementa el número de cirugías.

Dependiendo de la localización de las adherencias, al momento de la cirugía, se puede colocar una barrera para tratar de reducir la posibilidad de que éstas reaparezcan.

Ver también: reparación de obstrucción intestinal

Expectativas (pronóstico):

El pronóstico generalmente es bueno.

Complicaciones:

Dependiendo de los tejidos comprometidos, las adherencias pueden ocasionar diversos trastornos.

  • En el ojo, la adherencia del iris al cristalino puede llevar al desarrollo de un glaucoma.
  • En los intestinos, las adherencias pueden producir una obstrucción intestinal completa o parcial.
  • Las adherencias dentro de la cavidad uterina, llamadas síndrome de Asherman, pueden hacer que una mujer tenga ciclos menstruales irregulares y que sea incapaz de quedar en embarazo.
  • Las adherencias pélvicas que involucran cicatrización de las trompas de Falopio pueden llevar a que se presente esterilidad y problemas reproductivos.
  • Las adherencias pélvicas y abdominales pueden causar dolor crónico

Situaciones que requieren asistencia médica:

Consulte con el médico si presenta:

  • Dolor abdominal
  • Incapacidad para evacuar los gases
  • Náuseas y vómitos que no desaparecen
  • Dolor en el vientre intenso y con cólicos
  • Reviewed last on: 3/30/2010
  • Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, Washington. Clinical Teaching Faculty, Department of Obstetrics and Gynecology, Unviersity of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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