Abdominal adhesions following surgeries can lead to pain with bowel function or general movement. This study aimed to assess whether or not a specific manual therapy approach could reduce the prevalence of such painful adhesions.
Researchers using an experimental animal model did in fact report benefits from applying post-operative visceral mobilization (VM). 3 groups of 10 rats were examined post-mortem at 7 days following an adhesion-producing surgery. The rats in the Lysis group were treated (unsedated) on day 7 only, while the Preventive group animals were treated daily beginning the day after surgery.
The severity and the number of adhesions were significantly lower in the Preventive group. Clear signs of disrupted adhesions were noted in both the Preventive and Lysis groups. The authors in this study conclude that pending further studies, “…visceral mobilization could readily be implemented into post-surgical care and patient education.” They propose that VM could aid in preventing and/or treating abdominal adhesions.
This is a very well cited study that describes the available literature in reference to abdominal surgery and adhesions. Although an animal model was utilized, the authors believe that the assessment and treatment to the animals creates an environment that encourages tissue mobility and discourages fibroblast invasion of the peritoneal tissues in the same manner as human tissues would react.
You can check out coursework that the Institute offers that focuses on visceral mobilization for patients with pelvic issues.
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