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Re: Help me understand my med records Please!

From: TRISHA (anonymous@obgyn.net)
Fri Sep 30 08:17:16 2005


thanks for helping me out! I guess after reading the records and before that I was just kinda wondering-how good was the Dr. that did my lap? I am happy to hear that he did excise, I'm just kinda curious as to how much was excised and how much was used by a method a lot of the girls say doesn't work real well, ya know? But actually, this was my first lap, just diagnosed. I am actually during quite a bit better, it was done on the 13th. Thanks again Erica, I appreciate the advice! Take care.

At Fri, 30 Sep 2005, Erica wrote: >
>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!






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