An adhesion can be defined as "a band of scar tissue that connects two surfaces of the body that is normally separate". Adhesions involving pelvic structures such as fallopian tubes, ovaries, uterus and bowel are a relatively common. Recognised causes of pelvic adhesions include previous surgery, appendicitis, pelvic inflammatory disease (infection) and endometriosis, but sometimes there is no obvious aetiology.

It is said that pelvic adhesions are usually asymptomatic, but they can cause pain, bloating, subferitility or difficulties with bowel function. Laparosocopy is both the optimal investigation to diagnose and localise adhesions, and also the optimal technique for dividing the scar tissue in an attempt to normalise the anatomy as much as possible. Anti-adhesive agents are often used at the end of surgery to reduce the chances of recurrence.

As with all laparoscopic surgery, hospital stay tends to be short, but you may be asked to stay in hospital for up to 3 days if extensive bowel adhesions were treated.