ENDO Messages for October, 2004: Re: Lasor or cutting out endo? To Stacie

Re: Lasor or cutting out endo? To Stacie

From: Chris (anonymous@obgyn.net)
Fri Oct 29 21:34:02 2004

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Hi Stacie, You really have to dig to find this info. So little is actually known about endometriosis. I think that not all surgeons cut the endo out because there is much controversey about which is better. I think the biggest factor is that the laser is easier and cutting takes more skill. The laser is easier because it cauterizes and stops bleeding easier. This is what I have gathered through what I have read. My endo came back really bad after my first surgery with laser. I hope that cutting it out this time really gives me more relief. Dr. Reich believes that if all the endo is removed down to the root, it won't grow back. He says that there is always microscopic endo left behind, but it should never come back as bad as I had it. I hope he is right. I don't live near Michigan. I live in New Jersey. You should look for an endometriosis specialist. And ask lots of questions. Especially concerning bowel endo and obliteration of the cul-de-sac if you have it...a lot of doctors completely ignore this area because it is difficult. You want to know if your surgeon will treat these areas and if he/she will use sharp disection. You also want to know their laparoscopic ability. A lot of surgeons will cut you open because of difficulty and lack of skill laparoscopically. This happened to me with my first surgery with my regular obgyn (the one who used laser). He also cut me open instead of doing it laparoscopically. This causes so many more problems with adhesions! Here are some websites where you can look up endometriosis specialists: http://www.geocities.com/endometriose/endolinks.html http://www.endoangels.com/links.html http://www.geocities.com/HotSprings/Spa/8509/endokit.html I'm sure others would be able to maybe give you suggestions for a specialist in your area if you ask on here. Unfortunately, a lot of the specialists don't deal with insurance and you have to pay them up front. I wonder if things would be the same if men got endo? I hope I have helped some. Feel free to e-mail me if you want to. Chris

At Fri, 29 Oct 2004, Stacie wrote: >
>Chris,
>Thank you so much for the info. I don't think alot of us know that. I
>feel like I just wasted my time with the last lap. I wonder why they
>don't do the disection and just waste our time. Mine is now worse than
>it was before I had my 1st lap. Do you live any where near Michigan? I
>am going to look into another Doctor.
>
>Thanks
>Stacie
>
>At Thu, 28 Oct 2004, Chris wrote:
>>
>>Yes, I have heard numerous times that cutting the endo out is better
>>than laser. Pretty much every endometriosis specialist does it this
>>way. It is called sharp disection. When I had my first appointment
>>with Dr. Harry Reich, he told me that first of all the laser burns and
>>cooks your organs and causes more scar tissue. He also said that the
>>laser only burns the surface of the endometriosis, leaving the roots,
>>which then grow back with a vengence. This must have happened to me
>>because after my first surgery (using laser), the endometriosis came
>>back worse than ever!! I have read numerous stories from women who have
>>had the sharp disection and they have had years of pain relief. I had
>>surgery with sharp disection recently and so far, no pain from endo. I
>>haven't even taken one Advil during my period. And I had stage IV endo.
>>I hope this helps.
>>
>>At Thu, 28 Oct 2004, Stacie wrote:
>>>
>>>Hey everyone,
>>>Has anyone heard if either treatment is better, cutting or burning with
>>>the lasor of the endo during laproscopy. I recieved a video from the
>>>endo research assoc and the doctor on there said if you just burn the
>>>endo it does not get the roots. But cutting gets all of it. I am
>>>wondering if that is why mine keeps coming back so quick. Any thoughts?

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