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Re: abdominal sacrocolpopexyFrom: Mary (anonymous@obgyn.net)Tue, 18 Jul 2000 23:33:15 -0500 (CDT)
At Tue, 18 Jul 2000, jwang, M.D. wrote: >Thank you for your quick reply, I feel a little more releaved now, however, I have two more questions. 1. Since enteroceles are hernias which will be removed in the operation, I conclude that means my protruding stomach is just weak muscles and fat and after I recover from the operation I need to find a good gym and start an abdominal exercise program? 2. For my blatter repair/hysterectomy operation last June, I had 2 units of my own blood collected and ready for use in the operation should I had needed a blood transfusion.(which in the ending, I didn't need it just as my Doctor said I probably wouldn't)My question is, would removing the hernias create a better chance that I may need a transfusion in this operation or just in general for a abdominal sacrocolpopexy procedure at risk of needing a blood tranfusion? Thank you, it is just reassuring to have a second opinion. (if yours differs, then I know to ask more questions) >Enteroceles are simply hernias of the bowels into the tissue behind the >vagina. The abdominal sacropexy involves attaching the top of the >vagina to the cartilage on the bony part of the sacrum, or lowest >portion of the spine. The enterocele must be removed bofore the pexy >can be performed, and by attaching the vagina as mentioned, this should >prevent further enterocele formation because the back wall of the vagina >will be resting on the sacral area. > >Ther isn't anything in your instestines causing the drop, it has to do >with the strength of the vaginal support tissues. If you have urinary >symptoms, it is unlikely that the surgery will do anything to improve >them, though. > >At Tue, 18 Jul 2000, Mary wrote: >> >>I have an abdominal sacrocolpopexy scheduled August 10, 2000. I can't >>find information on the web about it. Last June,1999 I had a laposcopic >>hysterectomy >>by the same Doctor. The purpose was bladder repair done by a separate >>Urologist >>where I got a sling. Then my gyn. did the hysterectomy including >>rectocele and >>cystocele. I am 54, I have 2 children now 23 & 24.They were 8'10" and >>9'2" babies >>I had by Lamanze natural childbirth with only an apeseonomy and maybe a >>couple locals. I had a vaginal tack by a different Doctor for >>incontinence within 5 years of birth of second child. It was >>unsuccessful. I have had stress incontinence since my first pregnancy >>until I got the sling last year. Sometimes mornings, I have urge >>incontinence now, I may have had it all along and just didn't realize >>till after I quit wearing pads. ( I notice it depends on how much I >>have to drink in the evening before bedtime. ) I am asking for a cat >>scan of my abdomin before surgery because my abdomin looks as if I am 9 >>months pregnant today and has been that way since the birth of my last >>child. I have weak stomach muscles and diet has not helped. ( it hurts >>to do sit-ups ) My posture is not as straight as it should be, my Mother >>has always told me to stand up straight. >>Since the Doctor says that my vaginal prolapse is almost always >>accompanied by >>enteroccle, now more than ever I wonder if there is something in my >>abdomin area causing all the problem? (Since Enteroccle is when >>intestine bulges into the upper vagina, it seems to me it is pushing >>from up there- the abdomin area- and if it does turn out to be just fat >>given my history; doesn't it need to be checked & verified before I >>start a program at the gym to try to loose it?) I am worried that this >>operation will only go to another because we haven't determined what is >>the cause of my insides all falling. ( I remember the Doctor would >>always say my cervix was midway >>in office exams.) Thank you for your answer. >>PS I assume abdominal sacrocolpopexy means operation repairing vaginal >>prolapse and enterocele, since that's what is to be done. > >-- >J Wang, M.D >Assitant Clinical Prof. >Tufts University School of Medicine > >>**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.> >
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