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Mary, Read this, it explains some things...
From: andrea (anonymous@obgyn.net)
Wed Dec 26 23:04:50 2007
Here is Dr. Cook's site that tells of all the
procedures...electrocautery (fulguration) is not recommended by him.
This is what is says:
Coagulation is in essence an electrical burn that destroys the
appearance of the tissue. As a result, it is impossible to tell what is
normal and what is abnormal. Since the surgeon can't tell if all of the
endometriosis has been destroyed, deep endometriosis can be left behind.
In the worst case, normal peritoneum heals over this area with
endometriosis deep underneath.
HERE IS HIS SITE:
http://urlwww--pelvicpain--com.reachlocal.net/surgical_techniques.html
I still can't find any other specialists who use the type of laser my
doc is using! But, I guess excision with a combo of vaporization is
supposed to be best. Was your doc a specialist? I'm sorry you are
hurting. The only way to beat this is one or two excision surgeries
with a good specialist.
At Wed, 26 Dec 2007, Mary wrote:
>
>Andrea,
>My surgeon used laser vaporization/fulugration - I would NOT recommend
>this in any way shape or form. I feel soooo much worse since my surgery
>in June. I hope your surgery goes much better and that you find some
>relief. You are wise to research this in depth BEFORE the surgery. I
>really thought I was getting the proper care when I had my surgery. I
>guess I can do better.
>
>At Wed, 26 Dec 2007, andrea wrote:
>>
>>I know there are different laser techniques. There is laser
>>vaporization that is not supposed to be as successful and laser
>>excision, which is more thorough. I made sure today that my doctor does
>>excision and not vaporization. Kristy told me today that the doctors in
>>Atlanta at the CEC use laser excision. Is this true? The few women I
>>know on here who've been to the CEC have had successful surgeries, so
>>that would be good news.
>>
>>At Wed, 26 Dec 2007, Mary wrote:
>>>
>>>I had laser surgery, and would NOT recommend it at all!! I feel 1000x
>>>worse since the surgery. I was told that the laser can sometimes "stir
>>>things up" - and it doesn't get rid of the endo. I would STRONGLY
>>>recommend you research this more. I am going for excision surgery - but
>>>ONLY the kind where they actually remove it surgically - NOT LASER. This
>>>is just my experience. Also, keep in mind that Dr. Redwine gets some
>>>of the most difficult cases, so the return rates can't always be
>>>compared to that of other surgeons.
>>>
>>>good luck.
>>>
>>>--
>>>Mary
>>>
>>>At Wed, 26 Dec 2007, andrea wrote:
>>>>
>>>>Hello Everyone,
>>>>
>>>>I am having laser excision on January 23rd with Dr. John Dulemba, in
>>>>Denton, TX. I was wondering if anyone has had laser excision and what
>>>>thier success was? I know Dr. Redwine uses rotating scissor excision.
>>>>
>>>>He says scissors are more precise and unlike the laser, they are not
>>>>restricted to where they can cut. Laser cannot reach the cul-de-sac
>>>>area of the abdomen. Redwine's success rate is 57%, as told to me by my
>>>>doctor (they are close associates) and my doctor's success rate is 53%.
>>>>Even on Dr. Redwine's site, it says that success rates of excision with
>>>>a specialist are between 40-50% with one surgery, then goes up to over
>>>>70% with two surgeries.
>>>>
>>>>I just wanted to hear some different stories of scissor vs. laser
>>>>surgeries. I am worried that if I do have endo in my cul-de-sac (behind
>>>>my uterues) the laser surgery will not be able to remove it all.
>>>>
>>>>My doctor says with the laser, there is less bleeding and that's why he
>>>>chooses that technique. I am hoping I have at least a few years to be
>>>>pain-free! I guess if the MRI shows endo in the cul-de-sac, I may have
>>>>to go to another doctor who uses scissors, because I want a very
>>>>thorough surgery! What do you think? I am scared to death and can't wait
>>>>to get this over with! Also, my surgery is $25,000! Is that the normal
>>>>cost of excision with a specialist? What were the total costs of some of
>>>>your surgeries? I have to pay a $3500 deductible of that.
>>>
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