January 15, 2017 Liza Colimon, MD If you have history of chronic abdominal or pelvic pain and history of prior surgery, endometriosis, pelvic inflammatory disease (PID) or inflammatory bowel disease (Crohn’s, Ulcerative Colitis, Diverticulitis) you may have scarring (adhesions) inside your abdomen. After reviewing your medical history and performing an exam you may be advised to have a Laparoscopic Excision of Adhesions. A Laparoscopic Excision of Adhesions is a type of minimally invasive surgery in which small incisions between 0.5 to 1 cm are made on the abdominal wall through which an instrument called a laparoscope can be placed. The abdominal cavity is visualized by distending it with an absorbable gas, typically, carbon dioxide. The laparoscope allows the surgeon to see inside the abdomen and examine the pelvis, uterus, and ovaries/tubes. Instruments are placed through small incisions allowing the surgeon to remove adhesions that you may have attached to your uterus, ovaries, fallopian tubes or intestines. Usually if you are having significant pain and adhesions are found, you will have some relief after this procedure once the adhesions are released. Occasionally pain can persist. An attempt to rule out other causes of pain is made prior to surgery.