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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

>-- >Richard Chudacoff, MD >Chudacoff Obstetrics & Gynecology, PLLC >Sugar Land, TX > >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, they will receive no response. > > **Thank you for understanding :).** >




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