CPT® Code 58660

A laparoscopy with lysis of adhesions is a minimally invasive surgical procedure aimed at addressing adhesions that may be affecting the fallopian tubes or ovaries. Adhesions are bands of scar tissue that can form after surgery, infection, or inflammation, leading to complications such as pain, infertility, or obstruction. The procedure involves the use of a laparoscope, a thin tube equipped with a camera and light, which allows the surgeon to visualize the abdominal cavity without making large incisions. During the procedure, a tenaculum is used to grasp the cervix, facilitating the anteflexion of the uterus, which helps in accessing the pelvic organs. A small incision is made near the umbilicus to insert a port through which the laparoscope is introduced, and carbon dioxide is insufflated to create a working space in the abdomen. The surgeon inspects the abdominal cavity for adhesions and meticulously divides the scar tissue surrounding the fallopian tubes and ovaries using various techniques, including blunt or sharp dissection, laser, or electrocautery. The goal is to restore the normal mobility and function of these reproductive organs. To further prevent the recurrence of adhesions, a synthetic protective material may be placed in the pelvic cavity. After the procedure, the surgeon inspects the area for any signs of bleeding, withdraws the instruments, and closes the portal incisions, ensuring a thorough and careful approach to minimize complications and promote recovery.