WOMENS-HEALTH Messages for April, 2008: Re: ENDOMETRIOSIS: Laparoscopy for Endometriosis

Re: ENDOMETRIOSIS: Laparoscopy for Endometriosis

From: Dr. Herbert A. Goldfarb (anonymous@obgyn.net)
Sun, 27 Apr 2008 06:23:33 -0500 (CDT)

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In reply to: TexasCSR: "ENDOMETRIOSIS: Laparoscopy for Endometriosis"

Message posted on Dr. Herbert A. Goldfarb behalf by: Hope Waltman, Fibroid and Women’s Health Forum Moderator

Laparoscopy to diagnose Endo without the capability of operative excisional surgery is unwarranted. It would set up a second surgery for removal or a referral. I would suggest that you seek consultation with a physician who specializes in endometriosis treatment. Contact the Endometriosis Society for a referral.

Dr. Herbert A. Goldfarb New York Downtown Hospital, http://www.nohysterectomy.com

Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions. ** Private emails cannot be entertained due to time constraints; consequently, they will receive no response.

At Tue, 22 Apr 2008, TexasCSR wrote: >
>Hello,
>
>I am a 28yr woman in the Dallas area who is undergoing a laparoscopy
>procedure tomorrow. I have a few questions regarding the videotaping of
>the procedure and anesthesia techniques.
>
>Recently, I changed gynecologists and my new gynecologist reviewed my
>lab results and stated that I needed to have laparoscopy surgery to
>diagnose endometriosis. She stated that this procedure requires general
>anesthesia and there is no other option. From what I've researched on
>the internet, it seems that I do have an option of local anesthesia with
>sedation as an option or epidural anesthesia. I would like to avoid
>general anesthesia if at all possible. I have heard that there are
>shorter recovery times with the other types of anesthesia available. My
>ob/gyn states that it would take a long time to do the surgery and more
>doctors would need to be involved different anesthesia methods. Would
>you be able to give me any insight into my options?
>
>Also, there seems to be an issue with my ob/gyn videotaping my entire
>procedure. Upon first consultation with her, she stated that video is
>available as a courtesy. Then yesterday for my pre-op visit, she stated
>she was unsure if video was available. I called the surgical center to
>find out if there were video capabiities there, and they stated that
>indeed there is video there. All I would need to do is bring a CD and
>it would be up to the individual doctor as to whether or not she would
>burn a copy for me.
>
>I am also receiving a hysteroscopy during this surgery. Again, the
>research that I have seen on the internet stated that removing polyps
>with a hysteroscope does not need to be under general anesthesia.
>
>Any comments you would have on this would be greatly appreciated. Seeing
>this contradicting information is leaving me skeptical of my ob/gyn's
>abilities to perform my procedure correctly.
>
>Thank you.

Next message: Hope Waltman: "INFERTILITY: Diagnostic hysteroscopy be a routine procedure infertile women?"
Previous message: anonymous@obgyn.net: "MENORRHAGIA: my period came early, why?"
In reply to: TexasCSR: "ENDOMETRIOSIS: Laparoscopy for Endometriosis"

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