Re: pain caused by scar tissue after laprotomy?
From: clare (anonymous@obgyn.net)
Fri, 30 Aug 2002 15:13:42 -0500 (CDT)
Hi Dr. Cristalli:
I understand your point that a diagnostic laparoscopy has few or no
risks of aditional adhesion formation, (of itself), but some surgeons
tend to lyse etc while they are in there, and that has the potential for
further adhesion formation. I have problematic adhesions, and I would
advise anyone who has a diagnostic procedure to make their surgeon
promise clearly that nothing more than the diagnostic be done. To do
more is clearly a quality of life issue that needs to be discussed prior
to surgery.
My question (finally):
Dr, have you read about Confluent Spraygel, and the promise it is
showing in Europe and in the clinical trials in the USA? What do you
think of it's potential to prevent adhesion formation?
Thank you so much for your input!
At Fri, 30 Aug 2002, Bernard Cristalli MD wrote:
>
>At Fri, 30 Aug 2002, Cindy wrote:
>>
>>Hi Shanna,
>>like the doc said, if it is affecting your life, go get a second
>>opinion. if all other sources for your pain have been ruled out,
>>further surgery would be an option. BUT! something no one has stated,
>>is that further surgery could make the situation worse. any surgery can
>>cause adhesions (scarring), including surgery to remove adhesions. there
>>are some products out there and others that are being tested to help
>>reduce the formation of adhesions after surgery. Seprafilm is one that
>>the docs have used in me. no one can predict who will or who won't have
>>problems with adhesions. so, discuss this with your docs. laproscopy
>>is believed to be less likely to result in adhesions, but is not a
>>guarantee.
>>
>>good luck, take care
>
>---
>
>Nothing, no procedure has been proven to reduce adhesions so far.
>Surgery is a risk, but a diagnostic laparoscopy has only the risk of
>itself, no risk of adhesions there.
>
>--
>*These comments are for educational purpose only. They can't replace an examination by your doctor.
>* I won't have time to answer personal mails, please post to the forums.
>
>Bernard Cristalli MD AMACOG
>AIHP - ACCA - Paris France
>OBGYN.net Editorial Advisor
>Urogynecology Editorial Advisory Board
>http://www.obgyn.net/corresp/cristalli.htm
>
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