These instruments help minimize trauma to the normal tissue. Microscopic laser surgery or laser laparoscopy are ideal for removing this type of scar tissue. These approaches allow removal of the fibrous scar tissue while leaving the normal tissue unharmed. As we discussed last week the single most important factor in preventing adhesion reformation is good surgical technique. Having said this, even with good surgical technique, once scar tissue has formed there is always a chance it reform after it is removed.
Scar tissue forming or re-forming following surgery is an error in the healing process.
Currently several supportive measures are available which can used at the completion of surgery. Probably the most common supportive measure currently used is Interceed . This is a white mesh like material which can placed through the laparoscope or at laparotomy. This mesh acts as a temporary barrier in an attempt to prevent the surfaces from sticking together during the healing process and forming adhesions. Eventually this mesh dissolves and is eliminated from the body.