Re: new to forum..
From: Bernie and Beverly Doucette (bnb@cybrzn.com)
Tue Feb 1 08:49:09 2000
Adhesions>>Should you have surgery for adhesions?
From: Helen Dynda (olddad66@runestone.net)
Wed, 17 Nov 1999 12:48:42 -0600 (CST)
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· Reply: Peggy: "Re: Adhesions>>Should you have surgery for adhesions?"
Should you have surgery for adhesions? This is a question that you, as an
adhesion-sufferer, will be contemplating when your chronic pain becomes so
unbearable that you know that you need help of some kind.
The following items will give you information about some of the things to
think about before ever considering or agreeing to surgery.
- - - - - - - - - - - - - - -
Most surgeons will not do surgery on patients who have adhesions because:
a.) surgery for adhesions is too risky for the patient - too many things can
go wrong (like nicking the intestines, etc.).
b.) surgery for removal of adhesions (adhesiolysis) is a very time-consuming
task for the surgeon. I know of a patient who was in surgery for 9 hours!
c.) surgery for adhesions is a very difficult task for the surgeon --
requiring many hours of advanced surgical training before a surgeon has
developed the meticulous skills necessary in order to do surgery for
adhesions.
d.) there are no adhesion barriers that are currently 100% effective. For
that reason many of the best surgeons have elected not to use the adhesion
barriers currently available.
e.) adhesions are the way the body heals itself. With repeated surgeries it
is very possible that new adhesions (de nova) will develop and previous
adhesions will reform - which will only increase the chronic pain a person
already has.
f.) within 6-8 months Intergel (a gel adhesion barrier) may be reviewed and
approved by the FDA. With a gel adhesion barrier the surgeon will be able to
apply this protective gel adhesion barrier to most of the organs in the
abdominal cavity - which would give the patient a much greater chance to be
as adhesion-free as possible.
g.) when a person has had previous surgeries, it is difficult, if not
impossible, for the surgeon to do surgery laparoscopically.
h.) only a surgeon, who does surgery for adhesions on a regular basis, is
able to develop the skills necessary to help the patient become as
adhesion-free as possible. Even theses adhesion specialists cannot guarantee
that their patient will be adhesion-free following surgery.
j.) too often patients compare their surgeon's ability to that of a
mechanic - in that if a mechanic can fix a car, a surgeon should be able to
do the same for a surgical patient. It is not that easy! The body is in
charge of the healing, not the surgeon!
--
The 15th century proverb which summarizes the purpose of medicine is:
* To cure sometimes, to relieve often, to comfort always. *
>----- Original Message -----
From: Janet <rpaddles@aol.com>
To: Multiple recipients of list ADHESIONS <adhesions@forum.obgyn.net>
Sent: Tuesday, February 01, 2000 3:30 AM
Subject: Re: new to forum..
> At Mon, 31 Jan 2000, JF7770@aol.com wrote:
> >
> >Janet,
> >I am expecting to have my ninth surgery within the next two weeks and
scared
> >to death. On my last operative report the doctor noted the he thought I
> >needed a bowel resection but they were able to removed the adhesions and
it
> >opened up. I see where you mentioned you had had this done. Were they
able
> >to do it laparascopically or did they have to cut? Ginni
>
> Hi Ginni,
>
> well, when I had my bowel resection it was during my hysterectomy. They
> couldnt see any of my uterus/ovaries etc for scar tissue and one ovary
> was embedded in the bowel.When they did the horizontal incision for the
> hyst they immediately ruptured the bowel. Becasue they weren't
> expecting this it all happened in a bit of a rush so I actually had a
> horizontal and vertical incision for the op.
>
> Luckily that is a 'worst case senario' and I am pleased you have the
> time to look at your options. I agree with what you said about the
> laparotomy as I think things only got so bad inside me AFTER I had
> one.But they said there was no alternative as they couldnt see through
> adhesions on the previous lap.
>
> i think if you can have a lap to consider it but keep in mind that you
> dont want them to blindly rumage around as they could cause more damage
> and end up doing an emergency laparotomy. It might be better to have a
> controlled laparotomy from the outset.
>
> Unfortunately there are no easy decisions. Dispite having had my hyst
> and bowel resection over 18months ago I am now facing further surgery my
> self - either a lap or laparotomy - so I know how nervous you
> are.Sometimes it seems never ending...
>
> I hope it goes well for you, do let me know
>
> Janet
>
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