Re: Help me understand my med records Please!
From: Erica (anonymous@obgyn.net)
Fri Sep 30 07:32:04 2005
Hi Trisha,
Hope I can help...fulgurate means to remove. I am thinking that your
doctor used several different methods to remove your endo. He
definitely used excision and cauterization. The excisional biopsy is a
normal procedure (they just take a little piece and send it to the lab),
its normal to use blunt and sharp dissection methods (it all depends on
the area), lysis of the adhesions also means removal and the fact that
your endo was vaporized as opposed to simply coagulating it is a good
thing. It sounds like you have had previous surgery so I hope this one
works well for you.
Let us know how you're feeling.
Erica
At Fri, 30 Sep 2005, Trisha wrote:
>
>Hello girls! Well I just got back my med records from my lap and was
>hoping some of you could help clarify a few things for me. This is from
>the operative report-under "operative procedure" it says, 1. Lysis of
>adhesions and 2. Excisional biospsy and fulguration of extensive pelvic
>endometriosis. In the same report under "procedure" it says things
>like, "using hook electrode or cautery hooked to scissors using cutting
>hook and electrode at a power setting of 70 watts." Also says, "We
>succeeded in vaporizing that area of endo." Also, "Excisional biopsy was
>carried out as much as possible." Also, such and such "was excised
>and/or fulgurated, again, using cutting current and high wattage in an
>effort to vaporize the endo rather than merely coagulate it." Also, such
>and such "was freed by a combo of blunt and sharp dissection." And
>finally, "endo was once again fulgurated."
>
>So I'm wondering, sounds like the endo was excised but possible other
>methods were used-for those of you who are real knowledgable in the
>methods of excising/lasering endo, what method did my Dr. use and did
>he use the best one? I think it's the word-fulgurate-that confuses me, I
>don't know. My pre-op is Monday so I hope in the next few days I can
>figure out my game plan for treatments. Please help me to understand
>this if you can! thanks so much girls and I am praying for you all that
>we find relief to all of this soon! Take care!
![[ endo@obgyn.net ]](../../images/endo_at_obgyn.gif)