Re: abdominal sacrocolpopexy
From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Thu, 20 Jul 2000 21:20:46 -0500 (CDT)
At Tue, 18 Jul 2000, Mary wrote:
>
>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?
Yup.
>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)
Same chance of transfusion.
HSM
>>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.>
>>
--
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 ;-)
![[ Women's Health Forum ]](http://www.obgyn.net/images_women/wh-forum.gif)