We usually advocate early treatment of the disease to avoid poor outcome after delayed development, but it may not be correct to hold such a viewpoint in the treatment of postoperative intestinal adhesions. First of all, although the symptoms in the early postoperative period may not be found to be due to abdominal adhesions for a while, they may not always be due to abdominal adhesions. As the disease persists, time passes, and continuous examination and observation are determined, some characteristic manifestations are gradually perceived and recognized, and some relevant factors can be excluded or confirmed, so that the determination of whether the disease is intestinal adhesions is closer to the truth and more objective in terms of the danger of the disease. Secondly, the substance of postoperative abdominal adhesions resembles scar formation, which is stable for a long time after curing and maturing, and does not develop continuously like inflammation or tumor. The pathogenic basis is mainly the pain caused by affecting the peristaltic function of the intestinal canal or contracture pulling on the viscera; non-pathogenic adhesions do not need to be treated.
Early postoperative abdominal adhesions often look like pasta cooked to a glue, and even the most skilled surgeon cannot do anything about them. Postoperative abdominal adhesions have their own regular course of change and most of them will absorb on their own. Surgical interventions before the adhesion changes have set in will not only be half-hearted but may result in more serious re-adhesions or even organ damage. We all have the experience of peeling an egg. If you peel a hot egg directly, it will be full of holes and sores, but if you put it in cool water, the shell and egg white will be easily separated.