Re: Has it ever turned out NOT to be adhesions?

From: LOU COOPER (louc829@gmail.com)
Wed Mar 4 10:11:01 2009


Mark ,we sould never stop trying to find that answer their is always an answer, have you seen that movie LORENZO'S OIL. Adhesions must made known to all out there, 0ne thing to note is that, one day this could happen to them + it appears to be on the increase, maybe the media,the papers, t.v +++++ the squeaky wheel gets the most grease!!!!!!!! Lou

On Wed, Mar 4, 2009 at 11:20 AM, Katie <katie_scarlett67@hotmail.com> wrote: > Mark, you are one of the most industrious people I have encountered so
> far
> on this board and I truly appreciate all of your efforts and input.
>
> Thanks,
> Katie
>
> At Wed,  4 Mar 2009, Mark in Seattle wrote:
>>
>>At Tue, 3 Mar 2009, Linda wrote:
>>>
>>>Does anyone know the statistics of successful adhesion surgeries by any of the doctor(s) performing them?  If not, where could one locate these figures?
>>
>>--
>>Mark in Seattle writes:
>>
>>Except for the SCAR studies, successes are anecdotally reported first by
>>patients, and second by doctors.  This is why the new fMRI technique is
>>so important.  Finally, we can now measure success right away, without
>>waiting 5 or 10 years for the patient to report what's been happening.
>>
>>An article in The World Journal of Surgery in March 2006, reported that
>>“the success rate of laparoscopic lysis of adhesions remains between 46%
>>and 87%” That's a huge range, isn't it? I think answer varies so much
>>because of the above reasons, and also because the question depends on a
>>number of surgical factors.  I strain to understand them.
>>
>>Citation:
>>Szomstein S, Menzo EL, Simpfendorfer C, Zundel N, Rosenthal RJ.
>>Bariatric Institute, Section of Minimally Invasive Surgery, Cleveland
>>Clinic Florida, 2950 Cleveland Clinic Blvd., Weston, Florida, 33331,
>>USA, szomsts@ccf.org.  2006 Mar 13; Laparoscopic Lysis of Adhesions,
>>World J Surg.
>>
>>I saw another article that reported similar success rates, (assuming I'm
>>reading it correctly:
>>
>>http://7thspace.com/headlines/302194/feasibility_of_laparoscopy_for_small_bowel_obstruction.html
>>
>>The Surgical and Clinical Adhesions Research (SCAR) steering group in
>>the United Kingdom also reports success rates.  The numbers they provide
>>are confusing to me.  This is a cop out, but I don't feel well enough to
>>try to boil down the information I have in front of me, (it would take a
>>steady 2 hours of intense reading) so I'll merely just refer you to
>>their work.  Even if I tried to get up to speed with everything in the
>>article, I don't have the credentials to present it to you.  It's quite
>>dense language.
>>
>>The SCAR group is probably the most prestigious and credentialed group
>>of researchers.  The lead author in these studies is usually A.M.  Lower
>>or H.  Ellis.  There have been at least 3 major reports from the SCAR
>>group.  The latest one that is in my stack of papers is this one:
>>
>>A.M.  Lower, R.jJ.  S.  Hawthorn, D.  Clark, J.H.  Boyd, A.R.  Finlayson,
>>A.D.  Knight, and A.M.  Crowe, (2004) Adhesion-related readmissions
>>following gynaecological laparoscopy or laparotomy in Scotland: an
>>epiemiological study of 24046 patients, Human Reproduction Vol.  19, No.
>>1 pp.  1877-1885
>>
>>There are other earlier reports from the SCAR group.  The SCAR group is
>>generally credited, especially Ellis, for raising awareness of the
>>problem among doctors.
>>
>>Individual surgeons are free to report their own experience and they do
>>so.  Of these self-reporters, I've seen figures ranging from 75 to 85
>>percent success rates.  Here's one of them:
>>
>>http://www.centerforendo.com/articles/adhesionsupdate.htm
>>
>>Ideally, a surgeon worth his/her salt should provide you with
>>information about risks of success and failure.  Surgeons are supposed
>>to obtain what is called in legal terms, "informed consent" from their
>>patients prior to operating.  I do not feel qualified to provide you
>>with correct information so that you can make "informed consent." But I
>>do know enough to ask pointed questions.  In fact, I tell everyone I
>>know who is going to have surgery to ask the surgeon to please explain
>>the risk of adhesions and to please describe what, if any, techniques
>>he/she will be using to try to prevent them from occurring.  And then to
>>listen carefully.  Perhaps he/she can explain why your surgery has a 87
>>percent chance of success, while someone else would have a 46 percent.
>>
>>You've asked a very difficult question, and I don't think I've answered
>>it like you want me to.  I'm sorry.  But I thought I'd give it my best
>>try.  Perhaps someone else can take this information and come back to us
>>with a better response.  If there is a simple answer, I don't know what
>>it is.  But I've done my best to give it to you.  Maybe I'm just too
>>tired to give a confident answer.  But really, I think it's just a very
>>complicated question.  It's just hard to say.  And I'm really, really
>>tired right now.  I just spent 2 hours poking around in my files and on
>>the net, and I'm going to stop and call this good.  I did my best.
>>
>>Yours,
>>
>>Mark in Seattle
>>
>


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