Intertissal Adhesions
From: Karla N (ifirgit@yahoo.com)
Fri Apr 5 08:35:53 2002
--- "Beverly J.Doucette" <BNB@new.rr.com> wrote:
> From: "Beverly J.Doucette" <BNB@new.rr.com>
> To: <Hchalm@aol.com>
> CC: "Karla N" <ifirgit@yahoo.com>
> Subject: Re: INCISION PAIN - KARLA ????
> Date: Fri, 29 Mar 2002 17:39:37 -0600
>
> Hello Dear..
> I do recall you having chronic pain in the area of a
> rib, or rib cage...but nothing specific. I think you
> were told it was due to your smoking, your lungs,
> your muscles, your milk man..whatever excuse could
> be found for it, you were told it, correct??
>
> Inter-tissial adhesions are more scar tissue then
> what we have discussed in intra-abdominal adhesions.
> Let me define this:
> The bodies healing system for wounds, be they
> external scars or internal adhesions,
> it is all the process of the body attempting to heal
> destroyed tissue.
>
> Intra-abdominal adhesions is in itself, a specific
> composition of tissue the body forms to heal itself
> due to it's location in the body, be it soft & filmy
> or vascular & thick of internal adhesion formation,
> that tissue is different then the composition of
> external scarring of wounds.
>
> External scar tissue is of a tough tissue
> composition then your derma layers, it is also
> different in color and less elastic then the derma,
> and we can see scars!
> The external scarring is also different based on
> race. Keloid scarring is more prevelent in African
> then in Caucasians. There is also many different
> degress of external scar tissue depending on the
> cause of the tissue distruction.
> Burns can create hypotrophic protracted scars that
> are hard, raised and contracted, thus pulling the
> skin tight..and not allowing for growth of that part
> of the body. The scarring will NOT expand over time,
> and very likely will cause a deformation or lack of
> movement in the part of the body affected by that
> type of scarring. of the limb or
>
> When an incision is made in a laporoscopic surgery,
> every layer of tissue is incised through by the
> scalpel. All layers of dermas, the adipose tissue,
> the fascia layer over the muscle tissue and the
> muscle itself..then the peritoneum or covering that
> encases the internal abdominal/pelvis organs.
> ( Look on any anatomy chart, the best is "Grey's
> Anatomy")
>
> Every layer of human tissue that was seperated in
> that incision has to be healed by the body, and the
> only way to do that is for the body to form some
> sort of " tissue composition" that will adhere to
> the wounded tissue and heal itself. In doing this to
> the different layers of tissue, the adhesive tissue
> will be located at every layer of the wound, and it
> will get hard and the elasticity of the surrounding
> tissue. This is throughout the whole incision, thus
> putting pressure on nerves located within the
> tissues, at times blood supply could be comprimised
> due to this " scarring" and it burns, pulls, hurts,
> and is unforgiving in movement if located in areas
> where the skin is meant to give or bend or move.
>
> The nerves that are " trapped" will react at the
> site or can create pain in areas of the bosy not
> even near the incision site, " reffered" pain it is
> called due to the nerve ending not being able to
> trigger correctly. ( Nerves are not actually "
> tapped" in the scar tissue, but due to the hard
> tissue of the sacrring, pressure is placed on the
> nerves and thus creating problems and debilitataing
> pain at times.)
>
> I hate to use this as an analogy, but...you look at
> a round steak and you see the white gristle, in
> order for us to be able to chew that round steak
> once cooked, we have to beat it to soften the fibers
> or tissue..right? Well, think about all that gristle
> being located in side a 7" incision that run from
> hip to hip and is thick, tight and hard..think you
> could sit long? Think how long it would take until
> the pressure of this scar starts to push on nerves
> in your abdoman as you sitting. Think how otten you
> might have an adhesiolysis becuase your surgeon
> never mentioned that THIS was also a complication of
> surgery..and more surgeries on top of that,
> c-sections one after another! And the surgeons laugh
> when they say they should oput a zipper in a woman
> who has had so many laprotmies!!! And they are
> simply crippling her n the end.
>
> There is no way to remove, soften or reverse the
> process of inter-trissial scarring...to have a scar
> revision will only create thicker scarring..these
> are not adhesions as in the cavity, they are more
> similar in composition of external scarring tissue!
> Can pressure from a nerve in the lower abdoman creat
> a pain in your thigh? Yes it can! Can an incision in
> your upper abdoman cause pain in your upper back?
> Yes it can!
>
> How do I know these things? Unfortunately it is from
> the patients themselves who are living these
> symtpoms, and have had these intertissial-adhesions
> seen in surgeries..adhesiolysis surgeries that did
> not show internal adhesions any longer...yet today
> they suffer disabling pain, and unforgivivng
> scars..and no hope for effective medical
> intervention no matter what adhesion barrier might
> be found..it will offer them nothing!
>
> Yes, Helen, you are probably one of thses people. We
> did not undrstand this a year ago, but we know it
> exists today. I do not know if I have material on
> this, I think I do. I do not have time to search for
> it in my files tonight dear, but I will lave your
> email open and try to get to it Sunday. You search
> everything you can on how the body heals
> itself...you are sufferring something very real and
> as a direct result of your surgeries for adhesion. I
> am sorry...I am so sorry for all of you who have to
> live with this now, again, maybe we can stop this
> from heppening to others, but that will not be
> headed for a long time, and for some, it will happen
> as they simply will not believe us..but we can try
> can't we honey!!
>
> LOve Bev
>
>> ----- Original Message -----
> From: <Hchalm@aol.com>
> To: <BNB@new.rr.com>
> Sent: Friday, March 29, 2002 1:58 PM
> Subject: Fwd: INCISION PAIN - KARLA ????
>
> >
>
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