How long after abdominal surgery do intestinal adhesions usually occur

  Intestinal adhesions are a relatively common complication after abdominal surgery, usually occurring six months to one year after surgery, or longer, depending on the individual patient.  Intestinal adhesions are most commonly seen in patients undergoing intra-abdominal surgery, such as colorectal, appendiceal, and pelvic adnexal surgery, with an incidence of about 20-30%, usually occurring within six months to one year postoperatively. Postoperative intestinal adhesions may occur as a result of edema, infection, and inflammatory exudate from the primary intra-abdominal disease, or as a result of fibrinous adhesive healing between intestinal tubes in the abdominal cavity. After the occurrence of intestinal adhesions, patients may experience abdominal pain and distension, nausea and vomiting, and dyspareunia, with pain of a colicky nature, along with difficulty or even inability to defecate.  Patients with intestinal adhesions are recommended to take conservative treatment, including water fasting, gastrointestinal decompression, nutritional support, enema treatment, and antimicrobial treatment for combined infections. For patients with recurrent intestinal adhesions or more serious symptoms, surgical treatment can be taken to loosen the adhesions.