Comments by physicians at the OBGYN.net Women's Health Forum...

From: Helen Dynda (olddad66@runestone.net)
Sat Oct 14 12:33:35 2000


1.) "Re: trouble with adhesions after removal of both ovaries"...responded to by: Kelly Shanahan, MD: "Adhesions are bands of scar tissue between things. If they are very extensive and dense, it can be as if someone set a SuperGlue bomb off inside you...everything is stuck together. "The treatment, if you have significant pain, which has not responded to medication, is a lysis of adhesions...surgery to cut the scar tissue and free things up.

"Some people are more prone to adhesion formation; and anytime we do surgery on anybody there is the potential for scarring to occur as a result of the surgery. There are a few things we can do during the course of the operation to try to minimize formation of new adhesions.

"You need to discuss your options with your doctor."

http://forums.obgyn.net/forums/womens-health/WHF.9801/0831.html

2.) "Re: pelvic adhesive disease"...responded to by: Garry E. Siegel, MD: "Adhesions can be caused by endometriosis, or previous infection such as pelvic inflammatory disease, or as a result of previous surgery ( even and appendectomy ). If your doctor said that things were bad, you may have new adhesions ( the expression is that adhesions beget adhesions )."

http://forums.obgyn.net/forums/womens-health/WHF.9802/1649.html

3.) "Re: Confiming Adhesions"...responded to by: Laurie Lovely, MD: "I assume you are asking about intra-abdominal adhesions. The only real way to tell is through actually looking inside ( surgery ). Sometimes you can guess that there are adhesions from the way the dye spills out of the tubes during HSG, but not always. Ultrasound is rarely helpful in determining intra-abdominal adhesions."

http://forums.obgyn.net/forums/womens-health/WHF.9803/0349.html

4.) "Re: Confirming Adhesions"...responded to by: Bernard Cristalli, MD: "Adhesions can not be proven in any other way than by a laparoscopy or laparotomy. X-rays or Ultrasound can only give very indirect signs."

http://forums.obgyn.net/forums/womens-health/WHF.9803/0352.html

5.) "Re: adhesion barriers"...responded to by: Roberta Speyer, OB/GYN.net Publisher: "Unlike silicone implants, most adhesion barriers are designed to melt away within about a month of surgery. So you're not walking around with a bag full of potentially dangerous material inside you for the rest of your life."

http://forums.obgyn.net/forums/womens-health/WHF.9803/0439.html

6.) "Re: 4 surgeries in 10 months!"...responded to by: R. Daniel Braun, MD: "If another surgery is proposed, I would suggest that you get a second opinion prior to undergoing it. I also find that in younger women who have undergone surgical menopause, higher doses of estrogen are necessary than in older women who go through "natural" menopause."

http://forums.obgyn.net/forums/womens-health/WHF.9803/0650.html

7.) "Re: 4 weeks post TAH-BSO; abdominal mass?"...responded to by: J. Glenn Bradley, MD: "IMHO, the likelihood that adhesions are the reason for the "swelling" is small. The best bet is that you may have had a collection of blood develop near the incision, a very common occurence, and almost always self-resolving."

http://forums.obgyn.net/forums/womens-health/WHF.9803/0810.html

8.) "Re: pelvic and intra-abdominal adhesions- to Chris"...responded to by: J. Glenn Bradley, MD: "...low dose "anti-depressants" such as Elavil act as pain neurotransmitter inhibitors. If it works, TERRIFIC!! If you continue to have pelvic pain, and painful intercourse...IMHO, you need to have the ovary(s) removed. Also, invasive endometriosis can be associated with significant pelvic / low back pain. Radiation down the leg is uncommon, but not impossible."

http://forums.obgyn.net/forums/womens-health/WHF.9803/1248.html

9.) "Re: ADHESIONS"...responded to by: J. Glenn Bradley, MD: "Adhesions begin to form hours after surgery!!! Fortunately for most patients they are silent. For some however they will become symptomatic, either immediately after surgery, or years later."

http://forums.obgyn.net/forums/womens-health/WHF.9804/0136.html


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