Re: turning adhesions...

From: cathy:- (anonymous@medispecialty.com)
Thu Nov 29 15:34:05 2001


Adhesions form in the first hours after surgery. After 3-5 days you don't really get more in the way of new ones. What happens in the next months (or years) is that each adhesion band grows nerves and a blood supply and lays in collegen (which shortens and stiffens them.) The exact timing of how much pain how often and when it returns is highly dependent upon the exact details of where each end of each adhesion is. If there is plenty of "slack" in one particular adhesion, then it won't cause problems. If one just happens to attach somewhere that the constant pulling isn't detectable then that one won't cause problems. Other ones can end up in really nasty spots. And the amount of blood supply and nerve supply in an adhesion determines whether it generates its own pain or just makes pain in the tissues that it's attached to. So in some ways it's very much a matter of random chance. Think of it as "belly bingo" ;-)

At Thu, 29 Nov 2001, Carmel wrote: >
>How fast can adhesions return? I had a lap and mini laporatomy to lysis
>sdhesions on Aug. 22nd of this year, they were from a total abdominal
>hyst a year ago. The operative report stated extensive adhesions of the
>omentium to the anterior abdominal wall. Extensive adhesions of the
>large bowel to the vaginal cuff and posterior cul-de-sac.
>I have had pain returning over the last couple of weeks, the pulling,
>burning pain and pain with bowel movements. Can they return as early as
>3 months after being taken down? I am also dealing with a prolapse right
>now that I will be needing surgery for and wondered if I should try and
>get the doctor to check for adhesions while he is working on the
>prolapse.
>Thanks...
>Carmel
>P.S.
>I didn't have any barriers used on me.

--
cathy :-)

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