ENDO Messages for August, 2007: Re: Thanks for the support :) kelly ann

Re: Thanks for the support :) kelly ann

From: deirdre (anonymous@obgyn.net)
Wed Aug 29 20:48:29 2007

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Previous message: anonymous: "Re: Has anyone had a presacral neurectomy?"
In reply to: Kelly: "Thanks for the support :)"

I just want to say this - if he is not proficient in certain types of surgery, he will not be able to tell you if it's deep

'' Ironically, it's the patients with the deep disease (typically stage IV, some stage IIs) that have the best chance of pain relief after excision. ''

...

''This means that endo can grow deeper, but not have lateral spread as a rule. When the cells are metabolically active, they make inflammatory mediators that cause fibrosis (scarring), adhesions (different type of scarring), and pain. As a woman ages, the endo gets deeper and can cause scarring around other organs like the ureters, bowel, nerves, and just about anything else that is nearby. ''

''The most common surgery for endo consists of burning the surface of the lesions with either a laser (light energy) or cautery (plain old electrons). If the disease is superficial, then these treatments can work, but more often than not, it works for a while, and then the "roots", or the deeper part of the lesion that didn't get killed by the electricity start becoming active again, and the pain returns.''

''When the lesions are deep, then it's a lot more difficult and takes a lot of time and skill. We use plain old-fashioned cautery to do this dissection, because Dr. Redwine feels that this technique allows us to get a better feel for where the bottom of the lesion is. Excision can be done with a laser, but it can be harder to identify the base of the lesion so you don't cut through it leaving some endo in place. ''

''The laparoscopic lymph node dissection is actually the perfect case to learn the deep retroperitoneal pelvic anatomy. This is the part of the pelvis where 99% of general gynecologist never go. It is also where we go quite frequently in the pursuit of invasive endometriosis, and in those cases the anatomy isn't always normal or easy to navigate through, so this was actually a great learning case.'' http://endometriosissurgeon.blogspot.com/

At Tue, 21 Aug 2007, Kelly wrote: >
>Hop you are all doing fine. I still feel kind of down and confused. I
>am doing what my Dr. told me, take the Yaz every day, and try to "be
>active". All the while keeping a positive attitude and not let this
>disease define you. Anyways, my lap is schedueled for Sept. 10th. Has
>anyone heard of being really sad and emotional when thr start taking
>Yaz? I just feel weird and always so damn exhausted. I am at least glad
>to have a lap to see where it all is. Hope he checks EVERY place he
>can. I want to know what the heck is in my body. Next step will be
>trying to see if my pain Dr. is sttll treating me. I need to call next
>week and see if she will give me a refill on my meds, because I know she
>has talked to my Dr. and he is all "anti-pain meds". Don't think he
>would feel that way if his daughter or sister had this. Well, we'll see
>next week and I hope she refills it cause that is the time the pelvic
>pain really starts to hurt. If not I'm SOL. Thanks to those who
>replied-I aappreciate more than you know:)
>
>Kelly

Next message: anonymous: "thank you all"
Previous message: anonymous: "Re: Has anyone had a presacral neurectomy?"
In reply to: Kelly: "Thanks for the support :)"

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