Which surgical procedure carries the risk of developing pelvic adhesions?

The development of pelvic adhesions is notably associated with surgeries that involve manipulation or trauma to the pelvic organs. In the context of gynecological procedures, salpingo-oophorectomy, which involves the removal of the fallopian tube(s) and ovary/ovaries, presents a significant risk for adhesion formation. This procedure often involves cutting through various layers of tissue and the peritoneum, which can lead to scar tissue as the body heals.

Adhesions occur when normal healing processes lead to abnormal connections forming between organs and tissues in the pelvic cavity. The pelvic environment and the anatomical structures involved in a salpingo-oophorectomy make this procedure particularly prone to such complications.

Additionally, while hysterectomy and laparotomy can also lead to adhesions, the specific focus and trauma involved in the salpingo-oophorectomy, particularly in the context of reproductive organs, increases its risk profile. Cholecystectomy, which involves the gallbladder, is less likely to cause pelvic adhesions since it is not performed in the pelvic cavity.

Understanding the specific procedures helps in assessing risks related to adhesion formation, reinforcing why salpingo-oophorectomy is highlighted for this complication.