Re: pain caused by scar tissue after laprotomy?
From: Kayla (anonymous@obgyn.net)
Sat, 31 Aug 2002 23:20:22 -0500 (CDT)
Clare,
I actually had a laparatomy for ovarian tumors, that were removed and I
continued to have pain....so several months later, my gyn did a
laparascopy and found adhesions, scar tissue and ENDO...so I was very
relieved that she did this minor procedure. The pain has decreased to
almost nothing....I can actually function. Dr. Cristalli is correct,
nothing can really prevent scar tissue or adhesions...there are
different methods that researchers are determining their effectiveness
and trying to improve them. I had adhesions on my bowels too, but that
is something that you would want to have a gastro md there assisting
your gyn....Laparascopy involves much less risk for more adhesions to
form compared to a laparatomy BUT it does happen. I hope this helps!
At Fri, 30 Aug 2002, Bernard Cristalli MD wrote:
>
>Hi,
>Like previously said "life is a choice".
>Adhesion lysis is not needed unless pain is very annoying, and sometimes
>it may lead to small bowel obstruction.
>So far no mean has been found effective to prevent adhesions
>>
>>Hi Dr. Cristalli:
>>I understand your point that a diagnostic laparoscopy has few or no
>>risks of aditional adhesion formation, (of itself), but some surgeons
>>tend to lyse etc while they are in there, and that has the potential for
>>further adhesion formation. I have problematic adhesions, and I would
>>advise anyone who has a diagnostic procedure to make their surgeon
>>promise clearly that nothing more than the diagnostic be done. To do
>>more is clearly a quality of life issue that needs to be discussed prior
>>to surgery.
>>
>>My question (finally):
>>
>>Dr, have you read about Confluent Spraygel, and the promise it is
>>showing in Europe and in the clinical trials in the USA? What do you
>>think of it's potential to prevent adhesion formation?
>>
>>At Fri, 30 Aug 2002, Bernard Cristalli MD wrote:
>>>
>>>Nothing, no procedure has been proven to reduce adhesions so far.
>>>Surgery is a risk, but a diagnostic laparoscopy has only the risk of
>>>itself, no risk of adhesions there.
>>>
--
Kayla
**Just someone who cares, preparing for the medical field**
![[ Women's Health Forum ]](http://www.obgyn.net/images_women/wh-forum.gif)