Re: hysterctomy for endometriosis
From: NWeber (anonymous@obgyn.net)
Wed May 27 08:48:07 2009
The scoop on the DaVinci Robot is it helps recovery times. Nothing
else. It still does the same thing as traditional excision it just
allows the doctor a super close up look with as minimal blood loss as
possible and through smaller holes. My recovery time was about 2 weeks.
I will tell you this, it's expensive. Very expensive for the Davinci.
Knowing what my surgery cost with my insurance in Texas, and knowing
what the CEC cost, I would tell you to go to the CEC. Although my
surgery went great with the Davinci, I could have gone to Atlanta for
nearly the same cost.
At Wed, 27 May 2009, anonymous wrote:
>
>Is it Dr Boggess?
>
>http://www.hospimed.cz/download/AAGL_Direct_Mailer.pdf
>
>I wanted to post this for others
>
>http://www.centerforendo.com/articles/robotsandexcisions.htm
>
>I believe that Nweber, who answered your question, also had da vinci
>surgery, in Texas.
>
>I see this, link below, but I don't see evidence that they are the top
>endo docs, even on the East Coast. Did the doctor tell you they're the
>top specialist on the East Coast? Who do they consider top specialists
>in the rest of the country?
>
>http://www.med.unc.edu/obgyn/patient-care-services/advanced-laparoscopy-pelvic-pain/types-of-surgeries-performed
>
>Where do you have pain? Do you have it every day? Do you have heavy
>bleeding? Is the pain consistent every day of the cycle or worse during
>or around your period?
>
>I really do think that every surgery is a different experience for
>different people, but a lot of doctors have previous patients that new
>ones can contact. Does yours?
>
>I just finally want to say that although some excision docs use the da
>vinci, I believe that the true top docs do not: the CEC and Redwine.
>
>At Tue, 26 May 2009, anonymous wrote:
>>
>>Fortunatley I do have the best endometriosis expert on the East Coast. I
>>got tired of doctors who were not experts so I sought out the best. He
>>is an expert at the advanced laproscopy "de venci" technique and knows
>>where to look on ligaments, behind organs, micro-organisms, excision,
>>etc. He specializes in pelvic pain with endo and other pelvic floor
>>disfunctions. He only performs a hysterectomy when all else has been
>>exhausted. You must go through pelvic PT before you are even considered
>>a candidate with him. He also runs clinical research studies on endo
>>and pelvic floor disfunction. I know he is the lead doctor/teacher at
>>UNC and teaches other doctors with this procedure and has many books and
>>articles published in medical journals. I was not about to mess around
>>with surgery without going to the top doctor.
>>
>>However, I still have lots of anxiety and know the pain may not go away.
>>I am nervous about an immediate menapause and having the same level of
>>pain. I know after the surgery, I have to follow up with more Pelvic PT
>>to work out tramatized ligaments (levator ani). And botox injections
>>may be a discussion after surgery (I don't know what the studies are on
>>this). Anyone have botox for endo and ligaments in the pelvis???
>>I am in my mid forties...so I am complete with having children. I was
>>blessed to be able to have one at 40 but never was able to conceive
>>again.
>>
>>Any info on the true side efects anyone has experienced with complete
>>removal (uterus, ovaries, ligaments, cervex and possible bowel excisions
>>surgery would be much appreciated. Oh...I have to do a bowel ultrasound
>>the day before surgery just in case it has penetrated the bowel. If so,
>>the gyn oncologist will be their as well.
>>
>>At Tue, 26 May 2009, anonymous wrote:
>>>
>>>have you tried excision surgery and diet?
>>>
>>>there's a chance endo is on your sciatic nerve, cul-de-sac, etc etc -
>>>you need an endo expert's opinion
>>>
>>>this step your doing will not be effective and is very drastic - you're
>>>in te hands of the wrong / wrong kind of doctor!
>>>
>>>ask your doctor where they will look for endo, and how they will remove
>>>it, and why they think a drastic surgery like this will help your pain?
>>>
>>>centerforendo.com
>>>
>>>endometriosissurgeon.com
>>>
>>>i'd cancel the surgery today, and get the opinions of an expert you can
>>>go to, and make an appointment with them
>>>
>>>they can remove endo and make sure it's gone
>>>
>>> http://www.centerforendo.com/articles/excision.htm
>>>
>>>http://www.endometriosissurgeon.com/TreatingEndometriosis/ImagesOfEndometriosis/default.aspx
>>>
>>>http://www.endometriosistreatment.org/html/laser_vaporization.html
>>>
>>>http://www.endometriosistreatment.org/html/reprint7.html
>>>
>>>At Mon, 25 May 2009, anonymous wrote:
>>>>
>>>>Has anyone had a total hysterectomy (uterus, overies, tubes removed) and
>>>>had good results reducing pain from endometiosis? I have had it for
>>>>years and tried everything but removal. Scheduled to have surgery next
>>>>week. I am nervous about it not working and being just in the same
>>>>amount of pain. Surgery is being performed by a pelvic pain expert at a
>>>>teaching hospital. I am worried that everything will be removed and I
>>>>will be left with immediate menapause symptoms and the pain will still
>>>>remain.
>>>>Tried hormones, injections, laproscopy, pelvic pain physical therapy,
>>>>biofeedback. And the pain is worse...down leg, in rectum, SI joint and
>>>>hip.
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