Re: ?How do adhesions grow?

From: Kris (krisl1204@yahoo.com)
Fri Feb 27 17:48:37 2009


At Fri, 27 Feb 2009, HERB F DIXON wrote: >Wow, Cheryl. I just read your response to Mark after I replied to you. I could never figure out how these adhesions got started for me. I, too, had an appendectomy, 2 C-Sections and a partial hysterectomy between 1977 and 1991. I had no problems at all until about a year after I had a right sided ovarian cyst removed in 2004.I guess I'm lucky in that I was officially diagnosed with them quite quickly when I had my a colonoscopy in 2006. I'd also had one done in 2004 by the same doctor and there were no problems. It took my doctor an hour and a half to do it because he had such a hard time getting through the adhesions. The doctor who did the ovarian cyst did it as a laproscopic procedure, but he said it was really difficult. He was supposed to take both of my ovaries out, but he told me later that "he was too tired" after working for 2 1/2 hours to get the cyst and right ovary out. He released me from the hospital the same day and then called me at home that night to ask me why i didn't stay in the hospital, because I should have still been there! I told him I was home because he obviously released me. He said he told my mom that i should stay. i told him that he should have told the nurses that...I've often wondered if something he did led to the adhesion issue. I did have one ER doctor tell me that ovarian cysts, especially those that rupture as mine did, cause more adhesions than most surgeries. I have a good friend in another state who has a sister dealing with adhesions also after going thru an ovarian cyst surgery. I'm going to heed your advise about taking it easy after surgery. I'm also like you in that I always say I have 2 speeds: fast and stop! I will take it easy and will work hard not to be my usual over achieving self! Did the surgery in Germany help at all? If this one doesn't work, I may be coming to you for information. I am very lucky in that I have the resources to go there if I have to. Thanks again for your information and support! Kris
>Hi Mark, all I know about adhesions is that Gas being used to extend the abdomen for surgery causes it, a speck of talc off of gloves, a piece of whatever is used to absorb blood during surgery. I have had 11 abdominal surgeries. When I had 12 inches of my colon removed for Diverticulitis, that is when my adhesions started. Before that surgery in 2002, I had 2 c-sections, hysterectomy, one ovary, and then the other, tubal and exploratory. It was when my bowel was messed with that they started 2 weeks after surgery. The Lysis surgery I had in Germany, my large, and small intestine were stuck to my colon, my stomach was literally sucked in and stuck, it was physically noticeable, it blew my Gastro away. I was also told that I had remnants of my ovary left behind with a cyst on it on my right side. It was not that at all, it was a mass of adhesions. I am one of those people that are a bit hyperactive. When I have had all of my surgeries, I find tricky ways to clean the house, dust, cook etc. I feel that because of being active too soon after surgeries contributed to my adhesions. I only hurt myself! I have promised myself that If I ever have another abdominal surgery for adhesions, I will sit on my rear end, or lay down and rest until I am well. That is a Big if on a surgery again. I hope this helps. Cheryl D.
>
>> Date: Thu, 26 Feb 2009 15:02:57 -0600
>> From: mark7@skynetbb.com
>> To: adhesions@mail.obgyn.net
>> Subject: Re: ?How do adhesions grow?
>>
>> At Thu, 26 Feb 2009, Natrlady21@aol.com wrote:
>> >
>> >Does anyone know what makes existing adhesions continue to grow (spread)? By
>> >doin certain activities etc. Are there professional articles that talk about
>> >this?
>> >
>> Mark writes:
>>
>> Without a source of inflammation, I don't think adhesions can spread.
>> Sources of inflmmation include: surgery, endometriosis, radiation.
>>
>> If you don't mind a little conjecture, I've had email correspondence
>> from two women who claim ahdesions have formed for none of these
>> reasons. Just spontaneous formation. I have no reason to doubt their
>> word. So who knows? I have skin eczema which is a spontaneous skin
>> inflammation that I can't seem to stop. My skin will literally ooze
>> liquid for no good reason. So maybe that happens on the inside of my
>> body, too.
>>
>> Your question, however, may have to do with something else we hear on
>> this forum quite a lot. We often hear reports from people saying that
>> their doctor has observed adhesions "in greater numbers" than observed
>> in the same patient in a previous surgery. Also many people will make a
>> statement like, "I had surgery to clean out my adhesions, but they grew
>> back in greater numbers." or They will say "their back." This could mean
>> simply that the doctor released the pressure but cutting an "offending"
>> adhesion, but the wounded adhesion oozes more fibrin and reconnects
>> immediately after surgery. Time passes, the body shifts and the same
>> adhesion comes under tension again, resulting in discomfort.
>>
>> I hope this helps. But of course, I know it's not a sufficient answer.
>> I'm probably touching on the truth, but I know I'm not quite there. The
>> truth is that I think nobody can fully explain this awful disease to my
>> satisfaction. For example, I have yet to hear a good explanation of how
>> temporary fibrin deposits can then turn into a permanent adhesion. I'm
>> not satisfied with the explanation that fibrin is the only protein
>> involved. I think there's another process at work. See wikipedia
>> article on 'wound healing.' for more info. I haven't read it all. I
>> get tired easily. Maybe someone else can explain it better.
>>
>> Yours,
>>
>> Mark in Seattle
>>
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