WOMENS-HEALTH Messages for April, 2000: Re: Adhesions

Re: Adhesions

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Mon, 24 Apr 2000 19:37:35 -0500 (CDT)

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At Mon, 24 Apr 2000, Helen wrote: >
>I have adhesions from a direct result of a Total Abdominal Hysterectomy
>which I had 12/6/99. My adhesions are attached to my bowel, intestines
>and diaphram. My question is my ob/gyn told me I could not have a
>vaginal hysterectomy because my uterus had not dropped, and therefore,
>would have to have an abdominal hysterectomy, which I definitely did not
>want because I had been cut there three previous times for endometriosis
>and two c-sections. Is all this suffering I am going thru, only because
>she lacked experience in doing vaginal hysterectomies?

Impossible to answer that. We know neither you nor the doctor and his/her qualifications.

>If a person has a
>history of endometriosis and/or 3 prior laparotomies, should laparotic
>surgery be performed without advising a patient of their risk of
>adhesions?
>

With endometriosus and 3 prior laparotomies, one might think the adhesions were related to some degree to the aforementioned items. When having a hysterectomy, concerns about previous surgery and adhesions from them would cause most good surgeons to choose the abdominal route.

Without knowing you or your exact situation, if this were presented to me at grand rounds at the hospital, I would think adhesikons secondary to endometriosis and 3 prior laps. The last lap, the hysterectomy, just may have added to the picture already there.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**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: SHSL: "CREST patient with abnormal pregnancies"
Previous message: Harvey S. Marchbein, M.D.: "Re: Should I see a reproductive endocrinologist?"
In reply to: Helen: "Adhesions"
Next in thread: anonymous@obgyn.net: "Re: Adhesions"

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