Re: Should you have surgery for adhesions?

From: Millie (milliem@citlink.net)
Fri May 3 18:10:18 2002


Thank you,Helen. I say this because I am having even more abdominal/pelvic pain, as well as trouble moving the bowels. Probably from adhesions. She used Interceed on me after the hyst, and I can tell anyone that Interceed didn't do the trick. I am praying that I won't need any more surgery, as I am terrified of making the adhesion problem worse. This should make a lot of people think. Millie.

> ----- Original Message -----
From: Helen Dynda To: Multiple recipients of list ADHESIONS Sent: Friday, May 03, 2002 11:59 AM Subject: Should you have surgery for adhesions?

Should you have surgery for adhesions? As an adhesion-sufferer this is a question you will be contemplating when your chronic pain becomes so unbearable that you know you need help of some kind.

http://www.adhesions.org/forums/ADHESIONS.0002/0345.html

Most surgeons will not suggest surgery to adhesion sufferers because: a.) Surgery for adhesions is too risky for the patient. Too many things can go wrong (like nicking the bowels, 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 10 hours!

c.) Surgery for adhesions is a very difficult task for the surgeon -- requiring many hours of advanced surgical training and many hours of experience before a surgeon has developed the meticulous skills necessary in order to perform a surgery for adhesions.

d.) There are no adhesion barriers that are currently 100% effective. For this 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.) Gel adhesion barriers are currently in clinical trials. 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 these 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!


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