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Re: ADHESIONS: Thank you Dr. Hill
From: grateful mom (anonymous@obgyn.net)
Fri, 5 Oct 2007 09:14:45 -0500 (CDT)
Thank you Dr. Hill for the thorough response. That is my thinking as
well as my gyn's opinion. Dr. Siegel saved me from a laparotomy when
he and the gen surgeon did the LSO. - Thanks Garry!
I appreciate and respect your opinion. Thank you for taking the time to
educate women about their health.
At Fri, 5 Oct 2007, D. Ashley Hill wrote:
>
>Undergoing recurrent surgery for adhesions is controversial. On the one
>hand, many patients improve (as you did) but on the other, surgery
>itself can lead to more adhesions and they can recur even after
>successful surgery. There are some recent improvements in "adhesion
>barriers," which are materials your gynecologist can place over some of
>the areas where adhesions were treated to help prevent recurrence.
>Unfortunately, nothing is a perfect fix.
>
>Unless absolutely necessary for surgical exposure or, for example, to
>perform advanced bowel surgery, I would strongly discourage undergoing
>laparotomy (open surgery with a large incision) since this will
>significantly increase your risk of further adhesions compared to
>laparoscopy. Sometimes it's necessary, but when possible laparoscopy
>theoretically decreases the risk of adhesion formation. Best wishes,
>
>Ashley Hill
>
>At Thu, 4 Oct 2007, grateful mom wrote:
>>
>>I have extensive pelvic adhesions, specifically bowel to pelvic side
>>wall and anterior wall, and 1 remaining ovary encased in adhesions
>>following a TAH in 2005. I have had two operative laps to lyse
>>adhesions, both in 2005. The last lap removed my colon from the pelvic
>>side wall, exposing the ovary which was peeled off the side wall along
>>with my tube. I have been relatively pain free until 2 months ago. I
>>am feeling the same pulling, tugging and pressure on that side again. My
>>question is how often is lysis of adhesions recommended? My dr. has
>>recommended an ultrasound, a ct scan or another lap. Please note I have
>>the greatest dr. in Atlanta and trust him implicitly, but is it worth
>>continuing to treat or should I just get used to the pain? I will add
>>The lap is no big deal and I recover quickly, but the general surgeon
>>who assists will want to open me with a midline incision. Thanks for
>>any opinions.
>
>--
>D. Ashley Hill, MD
>Division Director, Dept. of Obstetrics and Gynecology
>Florida Hospital Orlando
>Medical Director
>Loch Haven Ob/Gyn Group
>235 East Princeton Street, #200
>Orlando, Florida 32804
>http://www.lochhavenobgyn.com
>
>Please understand that due to time constraints I am unable
>to answer any personal emails, therefore they will receive no response.
>
>These comments are general educational comments and should not
>be construed as specific medical advice. The best person to
>answer your health care questions is your physician or other
>health care provider. Thank you very much.
>
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