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Re: pelvic and abdominal adhesionsFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Tue Apr 19 15:39:10 2005
At Tue, 19 Apr 2005, Richard Chudacoff, MD wrote: > >This post is going to require responses from some of the more experienced >gynecologists. I'm doing some research into dense adhesion formation, >specifically how long they take to form. Basically I need to determine if >dense adhesions can form in less then 3-4 days post-op. I was wondering, >from those of you have had to take back patients for repeat surgery, say >secondary to bowel obstruction, have you notice significant, dense adhesions >so soon post-op? > >-- >Richard Chudacoff, MD, FACOG > >Women's Specialist of Houston > >6624 Fannin Suite 1800 > >Houston, TX, 77030 > >713-797-1144 > >713-425-3071 > >Women's Wellness Center at > >Chudacoff OB & GYN, PA > >15200 Soutwest Freeway #270 > >Sugar Land, TX 77478 > >tel: 281-277-3900 > >fax: 281-277-3901 > >Email: Richard.Chudacoff@obgyn.net > > rchudacoff@mylinuxisp.com > Yes adhesions can form quickly but they can also absorb over time, I have done pelvic exams 1 week after a difficult hyst where the vault was essentially frozen, six months latter the exam was normal for a post hyst vault, and in some of these 10 years latter they needed a vault repair suspension. Just like you can't predict who will get dense adhesions after surgery you can't predict who will aborb them well, so basically I only re-operate acutely for a good reason, bowel obstruction refractory to conservative management infected hemotoma etc.
--
Take care, John
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