The surgical approach to intestinal adhesion release needs to be determined by the specifics of the adhesion and cannot be simply outlined as follows.
Bowel adhesion is more common in acquired bowel adhesion, which can be caused by abdominal surgery, trauma, infection and foreign body in the abdominal cavity, etc. The most important treatment for bowel adhesion is surgery to release the adhesion. For intestinal adhesions, the most important treatment is surgery to release the adhesions, and the specific choice of surgery needs to be based on the condition of the adhesions. In order to minimize the re-formation of adhesions after surgery, surgery is usually performed under laparoscopic conditions.
If the adhesion is a small piece, simple cutting and separation can be performed; if there is a group of intestinal collaterals tightly adherent and difficult to separate, the section of intestinal tube can be resected and a one-stage anastomosis can be done; for some special cases, such as adhesions caused by enterocolitis, the two sides of the adhesion obstruction can be anastomosed and then short-circuited surgery can be performed, and so on.
For intestinal adhesions that are difficult to resolve with non-surgical treatment, surgery is still the most effective treatment.