CPT® Code 44180

Enterolysis is a surgical procedure that involves the severing of intestinal adhesions, which are bands of fibrous tissue that can form between the intestines or between the intestines and other abdominal organs. These adhesions can lead to complications such as bowel obstruction, where the intestines become twisted or kinked, preventing the normal passage of contents. The procedure is performed laparoscopically, which means it is done through small incisions in the abdomen rather than through a large open incision. This minimally invasive approach typically results in less postoperative pain, shorter recovery times, and reduced scarring compared to traditional open surgery. During the procedure, a small incision is made near the umbilicus to insert a trocar, which allows for the introduction of a laparoscope—a thin, lighted tube that provides visualization of the abdominal cavity. Additional incisions are made to place more trocars, enabling the surgeon to access different areas of the abdomen. The abdominal cavity is thoroughly inspected, and any adhesions that are identified are carefully lysed, or cut, using both blunt and sharp dissection techniques. After all adhesions have been successfully released, the laparoscope and trocars are removed, and the small incisions are closed, allowing for a quicker recovery and return to normal activities.