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adhesion surgeryFrom: Christine (anonymous@obgyn.net)Fri Dec 25 16:55:00 1998
Hi! I have been following the posts on adhesion surgery and thought my experiences might help someone. So many of the posts relate to the experiences I've had with endo and adhesions. I'm 48,besides endo, I had a hyst in 1986 (due to fibroids), Lupron tx in 1995, repeat Lupron tx in 1997, 2 laps in 1998. I have (had) a lot of adhesions from endo but they didn't cause too many problems until June 1997 when I had a sudden occurrence of mod severe lower abd pain. This became a chronic problem and several ultrasounds over the next few months were "negative" except for a few very small endometriomas.(too small to be causing so much pain according to my gyn) A 3 month trial of Lupron didn't do anything. (unlike the previous treatment) A GI consult and colonoscopy in Jan 1998 were negative. (much more likely that the pain was caused by gi disease in a woman my age) Laparoscopy (finally!) in March 1998 showed that an adhesion, probably from the surgery in 86, had wrapped around the small bowel and partially obstructed it. (I had no bowel symptoms, just pain) I was pain free for 3 months and then the exact same pain returned. Thinking it was the same problem as we know adhesions often reform, I asked to consult a general surgeon, since this involved the small bowel. I thought a general surgeon might have a different technique working with bowels. He agreed to repeat the lap but only if the gyn observed. Everyone was surprised to learn that the adhesion the gyn fixed had not reformed (no barrier was used ), but this time the problem seemed to be caused by the adhesions (probably from endo) in the left pelvis. They had kinked my sigmoid colon and pulled it over to the right side of the abdomen. Why this happened after 20 years is a mystery! These adhesions were released, no barrier was used because this surgeon feels that none of them work that well. He did use saline. I have just passed the 3 month point and am still relatively pain free although I can still tell all is not perfect in that area. Although it is still too early to know for sure I am cautiously optimistic that this last surgery was successful. I suspect, though, that the potential for problems is always there. Does anyone know any elderly ladies who have gone through this? I wonder how it all turns out in the end. Sorry this is so long, hope it encourages someone.
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