Re: hysterctomy for endometriosis
From: NWeber (anonymous@obgyn.net)
Thu May 28 13:50:05 2009
I am honestly not sure how much the DaVinci system does help adhesions.
They did alot of steps to prevent adhesions, tying up my ovaries for a
week through an incision line on my stomach and also with a spray inside
after surgery. I have a horrible history with scar tissue and
adhesions.
But I don't know the information specifically on the DaVinci and how
much it helps since I already had issues with severe adhesions.
At Wed, 27 May 2009, anonymous wrote:
>
>Does it reduce adhesions? because of the reduced blood?
>
>At Wed, 27 May 2009, NWeber wrote:
>>
>>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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