WOMENS-HEALTH Messages for September, 2002: Re: 'Pouch' after hysterectomy (doctor response please)

Re: 'Pouch' after hysterectomy (doctor response please)

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Wed, 18 Sep 2002 12:45:56 -0500 (CDT)

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In reply to: Norma: "'Pouch' after hysterectomy (doctor response please)"

At Wed, 18 Sep 2002, Norma wrote: >
>Does every woman end up with a permanant "pouch" after hysterectomy?
>Friends who were very fit and trim before surgery have it. Can you
>explain why this does or does not occur (i.e. surgical technique, etc).
>
>I have been considering a hysterectomy for fibroids which are causing
>bothersome symptoms, and have consulted a few gynecologists for
>opinions, but none have mentioned this as a drawback when the pro/cons
>are discussed. I consider this a real negative "side effect" if it
>always occurs, and I would probably decide to try to wait out the
>fibroid problem until menopause or other treatment options are
>perfected.
>
>And why aren't doctors more forthcoming if this result is inevitable?
>It's quite unfair to the patient.

If by "pouch", you mean a fold of skin over the incision, it happens frequently and is somewhat related to incision site selection. There is a natural little crease there that just begs to have the incision made right there. If it is, then there usually is a little "pouch" afterwards. It also may be related to the manner in which the skin is closed.

--
R.Daniel Braun, MD  FACOG   FOG
**Note:  Opinions expressed here are for educational purposes only
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Next message: R. Daniel Braun, MD: "Re: Hyterectomy and no Period"
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In reply to: Norma: "'Pouch' after hysterectomy (doctor response please)"

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