Re: Should this require surgery?
From: Curious (anonymous@obgyn.net)
Fri, 22 Nov 2002 07:38:00 -0600 (CST)
Unfortunately, you've had a taste of the limitations of laparoscopy.
When the pain and symptoms get bad enough you are ready to consider
another surgery I would look to a gyn/onco AND a colorectal surgeon as
having the most experience w/severing unnatural connections between
bowel, bladder, other internal organs. And certainly would NOT consider
another laparoscopy for this procedure. There is too much at stake. You
want them to have a FULL VISUAL field given your particular situation.
Laparoscopy can be wonderful, but it does have its limitations,
unfortunately.
At Thu, 21 Nov 2002, anonymous@obgyn.net wrote:
>
>I have had a hysterectomy and ovay removal. During the surgery the
>doctor said 2 loops of my bowl were stuck(one to the left ovary and
>abdominal wall, and the other loop of bowl to my bladder.) She was able
>to free the loop of bowl that was stuck to the ovary and remove the
>ovary and let the bowl fall back down into place. However, she started
>to cut through the extensive adhesions as she put it from the bowl and
>bladder. She said she got halfway through detaching the bowl from the
>bladder, but had to abandoned it because she was afraid of puncturing
>the bowl, or bladder. She said it became to tedious, and they were
>really stuck together. She said it spooked her, and she decided to
>leave the rest alone. Now almost 6 months later i continue to have bad
>bladder pain, and pain with bowl movements, and gas. She fears that the
>problem is that the loop of bowel that is still partially stuck to the
>bladder is the culprit. She said the adhesions were bad, and because of
>complications after the surgery with blood clots that remained in the
>pelvis around the bladder could have formed more adhesions. She said I
>am probable going to need surgery again to finish removing the bowl from
>the bladder, and removal of dense adhesions. She said she would not be
>able to do it lapo, but would need to cut the abdomen open. Is this
>necessary? Would I need a full abdominal cut like i did with the
>hyserectomy? I hate the pelvic pain, bowel, and horrible bladder pain
>that plagues me constantly, but I hate to think of going under the knife
>again, and the recovery time. Please help. Is there another way?