**2.13. Laparoscopic adhesiolysis**

Adhesiolysis is essential to restore normal tubo-ovarian anatomical relationships. The basic principles for carrying out adhesiolysis are followed: If the adhesion is thin and avascular, it is easily lysed and the chances of recurrence are not much. If adhesion is thick and highly vascular it is difficult to separate. Theses adhesion requires use of energy (Unipolar or Bipolar, Ultrasonic dissector). After achieving haemostasis sharp dissection with scissors are necessary. After adhesiolysis some fluid can be left inside to prevent recurrence or high molecular weight dextran tried to prevent re-adhesion. The fertility results after adhesiolysis are correlated with the state of the adhesions.
