WOMENS-HEALTH Messages for February, 1998: Re: ? about laparoscopy

Re: ? about laparoscopy

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Wed, 25 Feb 1998 20:32:45 -0600 (CST)

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In reply to: chris: "? about laparoscopy"

At Wed, 25 Feb 1998, chris wrote: >
>I am scheduled for a laparoscopy in 3 weeks and I am nervous. I can
>tell my gyn is a bit hesitant about doing this because as he put it, I
>am not "virginal", surgically speaking. However, I have extreme
>confidence in his surgical abilities and know he would not do it if he
>thought it unwise. So that helps. Here is my concern: I have read that
>one of the contraindications for laparoscopy is the presence of
>adhesions.

That's wrong. In fact, it's one of the indications. You may be referring to adhesions around the navel causing injury when the laparoscope is introduced. There are several techniques to get around this.

>Yet laparoscopy can diagnose adhesions, so I guess it is a
>matter of degree?

Degree and location.

>If they don't know you have adhesions and you do, what
>happens when they try to expand the abdomen with the gas?

Thank G-d, usually nothing.

>Do adhesions
>attached to the abdominal wall just rip?

No. Have you been watching E.R, again?

>Or is there a way to check out
>the situation before proceeding? I need some technical info to alleviate
>my anxiety. Thanks!

Noted above. Good luck with the surgery.

--
Harvey S. Marchbein, M.D. FACOG
OBGYN.net U.S. Representative, New York
Great Neck, New York
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/advisors/harveym.htm

**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 no private emails will receive a response.

**Thank you for your understanding ;-)

Next message: Harvey S. Marchbein, M.D.: "Re: Is it possible to switch to a lower dose pill mid-cycle?"
Previous message: Harvey S. Marchbein, M.D.: "Re: Raloxifene"
In reply to: chris: "? about laparoscopy"

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