Is Pregnancy Possible After A Laparotomy?

Posted on Thu, 19 Nov 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 19 Nov 2015 Answered on

Thu, 10 Dec 2015 Last reviewed on

Question : Hello, I a had a c-section tens year ago and recently learned that I have extreme abdominal adhesions. My doctor indicated that I have three options, 1) not to do anything and this option is risky, 2) to completely take out my ovaries and uterus through laporatomy only because the adhesions are extremely bad, 3) do the laporatomy and cut away the scar tissues with using adhesives to prevent the return of the adhesions. I am 31 years old and I would really prefer not to take my uterus out as I am hoping to have another child. Do you think you can have a child after having the laporatomy with the the use of adhesives?

Answered by Dr. Vjollce Mbiarra (33 minutes later)

Brief Answer:
Need more details

Detailed Answer:
Hi and thanks for your query.

I Understand your concern but please don't worry.
Please give me some details to help you To choose the best treatment method for you.

Do you have frequent lower abdominal pain?
Which was the diagnostic method od aderencis.

As you are so young and want to have another child The best treatment method is laparatomia with aderenciolisis.

All the best

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Vjollce Mbiarra (14 minutes later)

Thank you so much for your response, this was discovered through a laporascopy that was being done to remove a cyst, this is when they found out that adhesions were covering half of my overies on the right side. I am concerned only because of the infertility this has caused. I have been doing some research and I have read that the adhesions normally return after the laparotomy. Hopefully, this will not cause more infertility. What do you think? Again, thank you for your help.

Answered by Dr. Vjollce Mbiarra (1 hour later)

Brief Answer:
Need more details

Detailed Answer:
Hi dear again and thanks for trusting to us
First I would like to know, how many times did you try to conceive.
If you have more than one year with regular intercourse, you can contact with a doctor for adhesives treatment such as laparoscopy .
Please don't worry , give me this detail and let me help you.

God bless you

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Vjollce Mbiarra (17 minutes later)

I've been trying to conceive for more than a year, with no luck. I asked my doctor if I could do the laporascopy instead to remove the adhesives and informed me that their is too many adhesives and that I would have to do the laparotomy surgery instead. Again, thank you!

Answered by Dr. Vjollce Mbiarra (11 hours later)

Brief Answer:
Agree with your follow-up doctor

Detailed Answer:
Hi dear again and thanks for trusting to us.

If you have tried to conceive for one year and the reason of your infertility are adhesions on your pelvis ,than I agree with you doctor to do a laparotomy while laparoscopy isn't helpful in your case.

From our practice we have seen that women who have had extensive adhesions around their tubes and ovaries ,fertility is returned .

Hence be calm and take a decision for laparotomy.

All the best

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar