CPT® Code 58740

Lysis of adhesions, also known as salpingolysis when referring to the fallopian tubes and ovariolysis when pertaining to the ovaries, is a surgical procedure aimed at removing scar tissue that can hinder the normal function of these reproductive organs. This procedure is typically performed through an incision in the lower abdomen, allowing the surgeon to gain access to the abdominal cavity. During the operation, a thorough visual inspection of the abdominal cavity, uterus, fallopian tubes, and ovaries is conducted to identify areas of concern. The presence of adhesions, which are bands of scar tissue that can form after surgery, infection, or inflammation, can lead to complications such as infertility or chronic pain. The surgeon meticulously divides these adhesions using various techniques, including blunt or sharp dissection, laser, or electrocautery, ensuring that all scar tissue is removed to restore the mobility and function of the tubes and ovaries. To further mitigate the risk of new adhesions forming post-surgery, a synthetic protective material that gradually breaks down may be placed in the pelvic cavity. The procedure concludes with a careful inspection of the pelvic area to confirm hemostasis, followed by the closure of the abdominal incision.