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Re: 2nd negative laparoscopy in 2 yrs/continued pain!From: Connie (anonymous@obgyn.net)Wed, 23 Feb 2000 21:13:58 -0600 (CST)
At Wed, 23 Feb 2000, Robin wrote: >Robin: Thank you so much for the input, but the 2 negative laparoscopies were after the endo was found inside the ovary. I have suggested to the surgeon(s) that I could have microscopic endo, but yet, they don't take biopsies and from what I have read that is the only way to detect microscopic endo. The general surgeon said that if there are adhesions deep underneath the colon the laparoscopy would not be the proper tool to use, that is why he is suggesting a laparotomy, which I had signed for when I had the scope done on 2/15/00..so, I won't be able to do surgery again anytime soon because of work and having to schedule time off. I am at my wits end, but again, it helps to get some input. Hope all is well with you. Oh, by the way, I did have the small bowel series done and it was normal, but when the surgeon when in at that time 1994, I believe it was, he did find adhesions (massive) on the colon. So, I am off to a GI doc and hopefully she will tell me more. Thanks! >Hi, > >You said that you had two *negative* laparoscopies, yet they found endo >"in" your ovary. That would not make for a negative lap. Could it be >that there is endo in there that your surgeon is not able to recognize? >Endo can show in different colors, and if a Dr. is not familiar with >all of the colors, it is likely that it will be missed. > >The Colonoscopy will only show an abnormality if it is in the colon, as >that is where they are looking. If Endo has gone through the surface of >the bowel, they will see it. If you have Endo *on* the bowel, it won't >show, nor will adhesions on the bowel (during the colonoscopy). I had a >test called a small bowel follow through to check for adhesions on the >bowel. It came back negative, but I had a lot of adhesions on the >bowel. I was told the ahesions have to be extremely dense to >show....Mine were dense, but not dense enough. > >I don't know where you live, but maybe your Dr. knows of an >Endometriosis Specialist that can review your records, and decide if >there is something s/he can help with. > >Good luck, and feel better! > >-- >Robin > >At Tue, 22 Feb 2000, anonymous wrote: >> >>I have just had my 2nd negative laparoscopy in 2 years. The only reason >>this one was done was because I continue to have left sided pain. I >>have had a complete bowel work up by 2 different general surgeons and >>all was normal, including 2 normal colonoscopies. I had a hysterectomy >>in 1993 and both ovaries removed in 2 separate surgeries because of >>ovarian cysts (large) and endometriosis inside of my left ovary. I also >>did deep pelvic massage where the therapist said that she could feel >>adhesions. 3 previous laparoscopies revealed extensive adhesions >>involving the colon (adhered to sidewall). This scope and the one >>before showed no adhesions and the colon was free. I had my gyne and a >>general surgeon involved in the scope. Because I work at a surgical >>center, I ran into both of the surgeons a week after the procedure was >>done. The general surgeon wants me to see a GI doctor then wants me to >>report to him. He will be going over my records until then. He stated >>that a laparotomy would probably be beneficial as the adhesions could be >>under the colon. He stated that "scopes" give you a very limited view. >>Can someone give me an opinion on this problem?? Any advice would be >>truly appreciated. I am at my wits end with the pain. I am considering >>concious pain mapping, but have to be accepted into the procedure, which >>I heard it was difficult to be accepted. >
-- Connie
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