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Dr. Chudacoff!From: Kelly (anonymous@obgyn.net)Sat, 20 Oct 2001 13:55:11 -0500 (CDT)
At Sat, 20 Oct 2001, anonymous@obgyn.net wrote: > >At Fri, 19 Oct 2001, terry wrote: >> >>I went to an obgyn today because of the results of my ultrasound, >>I am scheduled for a hysterectomy on the 31 of this month. The >>fibroid is the size of a basketball and she said this is the >>only procedure that I can have. I am also a type 2 diabetic, so >>she said my surgery was high risk. What complications can I expect >>from this surgery, and how long will it take to heal. I really >>want to thank all the doctors for their help on this forum. >>Thank you, and God Bless, Terry > >Being a diabetic you have increased risks of wound separation and >infection, which can be lessened depending on your level of glucose >control. The main risk factors for infection would be obesity and >elevated glucose. Fat has less vascularity than muscle and skin, so >fluid can build up in the incision area, cause a pocket of fluid called >a seroma, that will keep the walls of the incision separated, thus >preventing healing, as there is poor uptake of the fluid that naturally >seeps into the wound space. Glucose will act as a food source for the >bacteria, and will be increased in the seroma fluid with poorly >controled diabaetes. These can be lessened with reduction in weight, >good glucose control and placement of a drain in the incision at the end >of surgery. > Dr. Chudacoff, What a wonderfully informative answer! The way you explain it makes so much sense. Thank-you very much,
--
Kelly
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