Peritoneal Adhesions in Osteopathic Medicine: Theory, Part 1

Abstract

Peritoneal adhesions form as a result of trauma to the abdomen, injuries resulting from surgery, and infections. These tissutal neoformations are innervated and vascularized, and with lymphatic vessels, adherence becomes a new and independent structure, capable of negatively influencing visceral functions. Adherent neogenesis can be asymptomatic or can be a source of pain, limiting the patient's quality of life. Although adhesiolysis remains the elective approach to eliminate adhesions, this therapeutic route prepares the peritoneal anatomical area to recur. The article reviews information on adhesion formation and peritoneal anatomy, probable subjective predispositions, and pathways that carry nociception. The text aims to be a theoretical basis for making new treatment suggestions for non-invasive osteopathic medicine, through a second part will be discussed in another article.

Keywords: adherence; fascia; myofascial; osteopathic manipulation; osteopathy; pain; peritoneum; scar.

Figure 1. The image shows an adhesion formation due to a previous inflammation between the sigmoid and the surrounding tissue

The image is owned by Bordoni Bruno.