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Re: Laparoscopy left me with shoulder pain too!From: Lynn D. Montgomery, MD (anonymous@obgyn.net)Wed, 31 May 2000 17:03:11 -0500 (CDT)
At Wed, 31 May 2000, Wendy wrote: > >Thanks for the info, Lynn. My doctor did tell me that the cyst broke >while they were taking it out, and it apparently made quite a mess that >they cleaned up best they could. They used saline to rinse me out and >it was leaking like crazy out my belly button incision the day after. It >sort of looked like watered down blood and it was soaking a gauze pad in >30 seconds flat at one point. My poor husband was sick with worry. We >went to doctors office thinking that I needed another stitch and that's >when he told me that the cyst broke and they had to rinse me out with >saline. So do you think the saline is irritating my diaphragm, which is >causing shoulder pain? I also get shooting pain in my shoulder when I >laugh or burp or sniffle, which seems very odd to me. >At Wed, 31 May 2000, Lynn D. Montgomery, MD wrote: >> >>At Wed, 31 May 2000, Wendy wrote: >>> >>>Hello- >>>I had a dermoid cyst removed laparoscopically last Tuesday (one week >>>plus a day ago), and I have to say that the worst part of this whole lap >>>business is the pain left by the gas they use to space out your inners. >>>I was pretty well immobilized by the pain in my stomach, rib cage, >>>collar bones, and shoulder blades. Man oh man, I felt like I'd been hit >>>by a truck! It feels a little better each day, which is good because >>>I've had about enough of the pain killers. (whole other batch of >>>problem there). My only problem now is my right shoulder. It still >>>hurts like a son-of-a-gun! Especially when I lie down, and forget about >>>sleeping on my right side-which use to be my favorite sleeping position. >>>It doesn't seem to be getting better. Is it possible that gas has been >>>trapped in there because I'm right handed, and this is a very active >>>area of my body? If so, how do I untrap it? I'm trying not to baby it >>>because I'm hoping to work it out. Very tired of the pain though. >>>Please let me know any suggestions to work out the last of the gas. >>> >>>-- >>>Wendy with the sore shoulder. >>> >>Wendy, >>The pain in your shoulder is likely from irritation of your diaphragn >>(dome at the top of your abdominal cavity). The nervous innervation of >>the diaphragm results in pain being referred to the shoulder. This >>irritation can result from gas placed in the abdomen at the time of the >>procedure, but that is quite rapidly absorbed by your body. It can also >>be irritated by blood or other substances within your abdominal cavity >>as a result of the surgical procedure. If the pain does not improve, I >>would contact your physician. It will likely resolve with time, but one >>must be sure that something isn't chronically bleeding within your >>abdomen as a result of the surgery... >>Lynn > >>-- >>Lynn D. Montgomery, MD >>Director, Maternal-Fetal Medicine >>Rocky Mountain Perinatal Center >>Missoula, Montana >> >>**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 e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response. >> >>**Thank you for your understanding ;-) >> >-- >Wendy with the sore shoulder. > Wendy, That's my story and I'm sticking to it... I think that tincture of time will help take care of the pain. It makes even more sense given that the cyst ruptured during removal-it contains some yucky stuff. The contents of a dermoid can be extremely irritating to the abdominal lining-diaphragm... Lynn
-- Lynn D. Montgomery, MD Director, Maternal-Fetal Medicine Rocky Mountain Perinatal Center Missoula, Montana
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