ABSTRACT

The information in this chapter is directed at pathological scarring within the fascial system and the subsequent impact on movement, posture, and visceral function.

The prevalence of occurrence and sequelae associated with pathological scars of varying etiology present important clinical, social, and economic considerations. Postsurgical scar/adhesion complications can occur as a result of even minimally invasive “keyhole” incisions, cauterizing, suturing, or fusing together of segments that are normally meant to be separate from one another. It is estimated that 93% of abdominal surgeries result in abdominal adhesions.

Given the impact on the patient and cost burden, improved preventative measures warrant important consideration. Reoperating to lyse problematic scar tissue may not always be necessary to restore function and improve patient quality of life.